Organization Active NPI

Tomcat HC LLC

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1033967807
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 6, 2024

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)CodeLicenseStatePrimary
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 Doing business as
  • BrightStar Care of Lafayette Doing business as

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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2014253Brightstar Care of Fort Wayne333 E Washington Blvd, Fort Wayne, IN 46802Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

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

Verify at the official NPI Registry.