Provider Demographics
NPI:1790486157
Name:BRIGHTER HORIZON GROUP HOMES, INC.
Entity type:Organization
Organization Name:BRIGHTER HORIZON GROUP HOMES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNTRUB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-907-6820
Mailing Address - Street 1:7849 OCEANUS DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90046-2042
Mailing Address - Country:US
Mailing Address - Phone:951-907-6820
Mailing Address - Fax:951-602-8422
Practice Address - Street 1:7133 E CORNELL AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93737-0048
Practice Address - Country:US
Practice Address - Phone:310-909-3817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness