Organization
BRIGHTER HEIGHTS ARIZONA, LLC DBA PRESCOTT HOUSE
Active
Other names
SequelCare of Arizona, LLC dba Prescott House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKE WILSON (SENIOR CREDENTIALING SPECIALIST)
(928) 910-7644
Entity
Organization
Contact information
Practice address
4001 NORTH CATHERINE DRIVE, PRESCOTT VALLEY, AZ 86314
(928) 775-7118
Mailing address
2517 N GREAT WESTERN DR., SUITE P, PRESCOTT VALLEY, AZ 86314-2597
(928) 777-3280
(928) 227-8493
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
BH-3650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
560284
AHCCCS ID
AZ
05
—
560284
—
AZ
01
—
BH-3650
LIC #
AZ
01
—
BH3650
LIC#
AZ
01
—
BH4980
LIC #
AZ
Enumeration date
10/02/2006
Last updated
07/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us