Organization Active NPI

Millbrooke Inc

  • Nursing Care Agency
  • Springfield, IL
National Provider Identifier
1043684376
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
2015-N1386 Issued in IL
Legal business name
MILLBROOKE INC
Doing business as
BrightStar Care Springfield
Practice address
426 S 5TH St
Springfield, IL 62701-1820
Phone
(217) 318-3396
Fax
(217) 717-2619
NPI assigned
Nov 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance Christopher Miller, PH.D
Title
President/Owner
Phone
(217) 318-3396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 2015-N1386 IL Primary

Addresses

Primary practice location

426 S 5TH St
Springfield, IL 62701-1820

Mailing address

426 S 5TH St
Springfield, IL 62701-1820
Phone (217) 318-3396

Other names 1

  • BrightStar Care Springfield Doing business as

National Provider Directory

National Provider Directory

Locations

426 S 5th St
Springfield, IL 62701
Phone (217) 318-3396

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448323200000",
    "number": "1043684376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011820",
            "telephone_number": "217-318-3396",
            "fax_number": "217-717-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 S 5TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011820",
            "telephone_number": "217-318-3396",
            "fax_number": "217-717-2619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLBROOKE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "217-318-3396",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "2015-N1386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.