Brilliant Mind Wellness LLC
NPI 1043104672 · Assisted Living Facility (Behavioral Disturbances) · Phoenix, AZ
Brilliant Mind Wellness LLC is a Assisted Living Facility (Behavioral Disturbances) organization in Phoenix, AZ (NPI 1043104672).
Provider details
- NPI number
- 1043104672
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ulysses Laurente, Administrator(623) 565-3555
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Forever Home
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2026-03-31
- Certified
- 2026-03-31
Frequently asked questions
- What is Brilliant Mind Wellness LLC's NPI number?
- Brilliant Mind Wellness LLC's National Provider Identifier (NPI) is 1043104672, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Brilliant Mind Wellness LLC?
- Brilliant Mind Wellness LLC is classified in the NPPES registry as Assisted Living Facility (Behavioral Disturbances) (Nursing & Custodial Care Facilities).
- Where is Brilliant Mind Wellness LLC located?
- Brilliant Mind Wellness LLC's practice location on file with NPPES is 149 E Joan D Arc Ave, Phoenix, AZ 85022-4704.
- What is Brilliant Mind Wellness LLC's phone number?
- The practice phone number listed in the NPPES registry for Brilliant Mind Wellness LLC is (623) 565-3555.
- Who is the authorized official for Brilliant Mind Wellness LLC?
- The authorized official listed on Brilliant Mind Wellness LLC's NPPES record is Ulysses Laurente, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Brilliant Mind Wellness LLC's NPI active?
- Yes — Brilliant Mind Wellness LLC's NPI (1043104672) is active in the NPPES registry as of the last update on 2026-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.