BRIGHT SKY HOSPICE CARE INC. NPI 1164768511

NPI Information

NPI: 1164768511
Provider Name: BRIGHT SKY HOSPICE CARE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D2054779

Address:
414 TENNESSEE ST STE D
REDLANDS, CA
ZIP 92373
Phone: (909) 335-1818
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BRIGHT SKY HOSPICE CARE, INC. is a hospice care community based in Redlands, CA. BRIGHT SKY HOSPICE CARE, INC. NPI is 1164768511. The provider is registered as an organization entity type.

The provider's business location address is:

414 TENNESSEE ST STE D
REDLANDS, CA
ZIP 92373-152
Phone: (909) 335-1818
Fax: (909) 335-2727

The provider's authorized official is Abraham Gatot Isprasetyo .
The authorized official title is President and has the following contact phone number (909) 335-1818.

The CLIA number assigned to this NPI record is 05D2054779 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/12/2012 and was last updated on 12/12/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

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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