Active NPI
Broombright Solutions LLC
- Home Health Agency
- Moorhead, MN
National Provider Identifier
1225800683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BROOMBRIGHT SOLUTIONS LLC
- Practice address
- 819 30TH Ave S Ste 107a
Moorhead, MN 56560-5000 - Phone
- (701) 729-1001
- NPI assigned
- Oct 27, 2023
- 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
- Hukun A Dabar
- Title
- Ceo
- Phone
- (701) 729-1001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
819 30TH Ave S Ste 107a
Moorhead, MN 56560-5000
Mailing address
819 30TH Ave S Ste 107a
Moorhead, MN 56560-5000
Phone (701) 729-1001
National Provider Directory
National Provider DirectoryLocations
819 30th Ave S
Ste 107A
Moorhead, MN 56560
Phone (701) 729-1001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698364800000",
"number": "1225800683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 30TH AVE S STE 107A",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605000",
"telephone_number": "701-729-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 30TH AVE S STE 107A",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605000",
"telephone_number": "701-729-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOMBRIGHT SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A",
"authorized_official_last_name": "DABAR",
"authorized_official_first_name": "HUKUN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "701-729-1001"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.