Provider Demographics
NPI:1285197251
Name:SHANTELL WALKINE DBA BRIGHTER CARE
Entity type:Organization
Organization Name:SHANTELL WALKINE DBA BRIGHTER CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANTELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-828-3045
Mailing Address - Street 1:1860 SW FOUNTAINVIEW BLVD STE 74
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-4535
Mailing Address - Country:US
Mailing Address - Phone:772-200-3771
Mailing Address - Fax:772-302-3807
Practice Address - Street 1:1860 SW FOUNTAINVIEW BLVD STE 74
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-4535
Practice Address - Country:US
Practice Address - Phone:772-200-3771
Practice Address - Fax:772-302-3807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-08
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities