Organization Active NPI

Bright Sky Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Redlands, CA
National Provider Identifier
1164768511
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BRIGHT SKY HOSPICE CARE, INC.
Practice address
502 Cajon St
Redlands, CA 92373-5904
Phone
(818) 433-1696
Fax
(909) 335-2727
NPI assigned
Dec 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Abraham Gatot Isprasetyo
Title
President
Phone
(909) 335-1818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

502 Cajon St
Redlands, CA 92373-5904

Mailing address

502 Cajon St
Redlands, CA 92373-5904
Phone (818) 433-1696

Care Compare: Hospice

Medicare Care Compare
Listed as
Bright Sky Hospice Care IncCCN 551760
Ownership
For-Profit
Certified
Nov 25, 2013

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

414 Tennessee St
Ste Dr
Redlands, CA 92373

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1164768511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735904",
            "telephone_number": "818-433-1696",
            "fax_number": "909-335-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 CAJON ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735904",
            "telephone_number": "818-433-1696",
            "fax_number": "909-335-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SKY HOSPICE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "ISPRASETYO",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "GATOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-335-1818"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.