OrganizationActive
Bright Horizons Respite
NPI 1235945023 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rockford, IL
Provider details
- NPI number
- 1235945023
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Shenita Moton, Owner/Ceo(815) 519-8875
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
2235 S 4th St
Rockford, IL 61104-7103
Phone: (815) 519-8875
Approximate (ZIP-level) locationGet directions
Mailing address
2235 S 4th St
Rockford, IL 61104-7103
Other names (DBA / former)
- Other name
- Bright Horizons Respite
Registry dates
- Enumerated
- 2024-12-05
- Last updated
- 2024-12-05
- Certified
- 2024-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.