BRIGHTON HOSPICE INDIANA LLC


Address: 280 E 96th St Ste 250, Indianapolis, IN 46240-3853
Phone: 3177982160

BRIGHTON HOSPICE INDIANA LLC (NPI# 1699235887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699235887
Entity Type Organization
Organization Name BRIGHTON HOSPICE INDIANA LLC
Practice Address 280 E 96th St Ste 250
Indianapolis
IN 46240-3853
Mailing Address 5200 S Highland Dr Ste 200
Holladay
UT 84117-7003
Practice Telephone 3177982160
Mailing Telephone 8019963217
Enumeration Date 2019-03-22
Last Update Date 2019-11-11
Authorized Official Name THOMAS GODFREY (OWNER)
Authorized Official Telephone 8019963217
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251G00000X Hospice Care, Community Based Agencies

Office Location

Street Address 280 E 96TH ST STE 250
City INDIANAPOLIS
State IN
Zip Code 46240-3853

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1134657455 Donann Kissick Speech-Language Pathologist 450 E 96th St., Suite 500, Indianapolis, IN 46240 2017-05-31
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1235483835 Christina Marie Wilson Nurse Practitioner 8888 Keystone Crossing, Suite 1300, Indianapolis, IN 46240 2012-11-04
1770850927 Holly Bergeron Pharmacist 1505 E 86th Street, Indianapolis, IN 46240 2011-11-16
1104128214 Meghan Kyle Fricke Physician Assistant 860 E 86th St Ste 4, Indianapolis, IN 46240 2010-11-22
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Taxonomy Information

Taxonomy Code 251G00000X
Grouping Agencies
Classification Hospice Care, Community Based

Taxonomy Definition

Definition to come...

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1770968570 Health Works Hospice Care, Community Based 7460 E 30th St, Indianapolis, IN 46219-1111 2015-07-22
1538540638 Anew Hospice LLC Hospice Care, Community Based 3830 E Southport Rd Ste 300, Indianapolis, IN 46237-3261 2015-06-15
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1093102105 Brookdale Hospice, LLC Hospice Care, Community Based 9100 Purdue Rd Ste 100, Indianapolis, IN 46268-1190 2015-04-16
1427395946 Freedom Hospice, LLC Hospice Care, Community Based 7215 E 21st St Ste A, Indianapolis, IN 46219-1777 2013-01-04
1912264946 Intrepid of Northern Indiana, Inc. Hospice Care, Community Based 6002 W 62nd St Ste B, Indianapolis, IN 46278-2909 2012-04-16
1679746267 Seasons Hospice & Palliative Care of Indiana LLC Hospice Care, Community Based 2629 Waterfront Parkway East Dr, Ste 375, Indianapolis, IN 46214-2076 2008-04-04
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City INDIANAPOLIS
Zip Code 46240

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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