Broadlight Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BROADLIGHT HEALTH LLC

Practice address

2015 Ayrsley Town Blvd Ste 202
Charlotte, NC 28273-4068

Phone

(704) 280-8384

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Isaac Enweana

Title

Ceo/Admin

Phone

(980) 636-7559

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1831732635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-280-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 AYRSLEY TOWN BLVD STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282734068",
            "telephone_number": "704-280-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROADLIGHT HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "ENWEANA",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "CEO/ADMIN",
        "authorized_official_telephone_number": "980-636-7559"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ansley Gardner Broach, PA
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• Jeremy Broadhead, D.C.
• Amoni Broadie, LCMHCA
• Broadview Health, PA
• Adair Broadway
• Kelly L Broadway, PT
• Scott Russell Broadwell, MD
• Kelly Broady

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; 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.