# BRIGHTON CONVALESCENT, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Brighton Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912248972
- **Authorized official:** CIPRIANO BAUTISTA (MEMBER)
- **Authorized official phone:** (626) 512-2595

## Contact information

- **Practice address:** 1836 N FAIR OAKS AVE, PASADENA, CA 91103-1619
- **Practice address phone:** (626) 512-2595
- **Practice address fax:** (626) 794-2964
- **Mailing address:** 1836 N FAIR OAKS AVE, PASADENA, CA 91103-1619
- **Mailing address phone:** (626) 798-9124
- **Mailing address fax:** (626) 794-2964

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 970000194 | CA | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 01/15/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1912248972 | — | CA |