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MILLBROOKE INC NPI 1043684376


NPI Information

NPI: 1043684376
Provider Name: MILLBROOKE INC

Doing Business As: BRIGHTSTAR CARE SPRINGFIELD

Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 14D2123459

Address:
426 S 5TH ST
SPRINGFIELD, IL
ZIP 62701
Phone: (217) 318-3396
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MILLBROOKE INC is a nursing care in Springfield, IL. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. MILLBROOKE INC NPI is 1043684376. The provider is registered as an organization entity type.
The provider Is Doing Business As Brightstar Care Springfield.

The provider's business location address is:

426 S 5TH ST
SPRINGFIELD, IL
ZIP 62701-820
Phone: (217) 318-3396
Fax: (217) 717-2619

The provider's authorized official is Lance Christopher Miller .
The authorized official title is President/owner and has the following contact phone number (217) 318-3396.

The CLIA number assigned to this NPI record is 14D2123459 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/24/2015 and was last updated on 11/24/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing Care2015-N1386ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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