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BRIGHTON HOSPICE MINNESOTA LLC NPI 1891118931


NPI Information

NPI: 1891118931
Provider Name: BRIGHTON HOSPICE MINNESOTA, LLC

Doing Business As: BRIGHTON HOSPICE

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 24D2076265

Address:
4500 PARK GLEN RD
SUITE 475
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 856-2212
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BRIGHTON HOSPICE MINNESOTA, LLC is a hospice care community based in St Louis Park, MN. BRIGHTON HOSPICE MINNESOTA, LLC NPI is 1891118931. The provider is registered as an organization entity type.
The provider Is Doing Business As Brighton Hospice.

The provider's business location address is:

4500 PARK GLEN RD
SUITE 475
ST LOUIS PARK, MN
ZIP 55416-871
Phone: (952) 856-2212

The provider's authorized official is Thomas Godfrey .
The authorized official title is Owner and has the following contact phone number (801) 996-3217.

The CLIA number assigned to this NPI record is 24D2076265 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/26/2014 and was last updated on 1/30/2020.


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
1251G00000XHospice Care, Community Based29960MINNESOTAYes

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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