Active NPI
Tomcat HC LLC
- Home Health Agency
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- TOMCAT HC LLC
- Practice address
- 333 E Washington Blvd
Fort Wayne, IN 46802-3134 - Phone
- (260) 918-0933
- NPI assigned
- May 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrew Charles Miller
- Title
- Member
- Phone
- (678) 481-4297
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
333 E Washington Blvd
Fort Wayne, IN 46802-3134
Mailing address
333 E Washington Blvd Ste B
Fort Wayne, IN 46802-3100
Phone (678) 481-4297
Other practice location 1
3601 Sagamore Pkwy N Ste D-2
Lafayette, IN 47904-5041
Phone (765) 237-3650
Other names 2
- BrightStar Care of Fort Wayne
- BrightStar Care of Lafayette
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Home health agency certification: CCN 15K114
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- BRIGHTSTAR CARE OF FORT WAYNE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 12, 2013
- Last certification
- Sep 13, 2019
- Ownership / control type
- Proprietary
- Facility address
- 333 East Washington Blvd
Fort Wayne, IN 46802
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2014253 | Brightstar Care of Fort Wayne | Certificate of waiver | Oct 4, 2026 |
National Provider Directory
National Provider DirectoryLocations
333 E Washington Blvd
Fort Wayne, IN 46802
Phone (260) 918-0933
333 E Washington Blvd
Ste B
Fort Wayne, IN 46802
3601 Sagamore Pkwy N
Ste D2
Lafayette, IN 47904
Phone (765) 237-3650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730851200000",
"number": "1033967807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E WASHINGTON BLVD STE B",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468023100",
"telephone_number": "678-481-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E WASHINGTON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468023134",
"telephone_number": "260-918-0933"
}
],
"practiceLocations": [
{
"address_1": "3601 Sagamore Pkwy N Ste D-2",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "IN",
"postal_code": "479045041",
"country_code": "US",
"telephone_number": "765-237-3650",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOMCAT HC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "CHARLES",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "678-481-4297",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BrightStar Care of Fort Wayne",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "BrightStar Care of Lafayette",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.