Active NPI
Bright Sky Hospice Care, Inc.
- Community Based Hospice Care Agency
- Redlands, CA
National Provider Identifier
1164768511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Inc
- 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 DirectoryLocations
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.