Provider Demographics
NPI:1760600969
Name:BRIGHT EXPECTATIONS INC
Entity Type:Organization
Organization Name:BRIGHT EXPECTATIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:COX
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:951-727-4303
Mailing Address - Street 1:8175 LIMONITE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92509-6120
Mailing Address - Country:US
Mailing Address - Phone:951-727-4303
Mailing Address - Fax:951-727-4304
Practice Address - Street 1:5523 JONES AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-1357
Practice Address - Country:US
Practice Address - Phone:951-727-4303
Practice Address - Fax:951-727-4304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
CALTC60636FOtherMEDI-CAL