OrganizationActive
Brilliant Mind Wellness LLC
NPI 1043104672 · Assisted Living Facility (Behavioral Disturbances) · Phoenix, AZ
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
Practice location
149 E Joan D Arc Ave
Phoenix, AZ 85022-4704
Phone: (623) 565-3555
Approximate (ZIP-level) locationGet directions
Mailing address
13384 W Rimrock St
Surprise, AZ 85374-5211
Other names (DBA / former)
- Doing business as
- Forever Home
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2026-03-31
- Certified
- 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.