Indigo Bridge Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

INDIGO BRIDGE CARE LLC

Doing business as

Right at Home

Practice address

W177N9886 Rivercrest Dr Ste 262
Germantown, WI 53022-4601

Phone

(715) 252-8015

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

George Diekelman

Title

Owner

Phone

(715) 252-8015

Specialties & licenses 1

Addresses

Other names 1

• Right at Home Doing business as

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738108800000",
    "number": "1871306506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 NICOLET AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815666",
            "telephone_number": "715-252-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W177N9886 RIVERCREST DR STE 262",
            "city": "GERMANTOWN",
            "state": "WI",
            "postal_code": "530224601",
            "telephone_number": "715-252-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGO BRIDGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A",
        "authorized_official_last_name": "DIEKELMAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-252-8015"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Right at Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erika Lynn Hubert, OTR/L
• Troy A Hurst, PT, DPT
• Joseph Allan Hylander, MD
• David Imse, M.D.
• Hafsa Imtiaz
• Cynthia Jakusz, DDS
• Nina Jankins, PTA
• Callie J. Jarosch, OT
• Michelle Jens, PTA
• Jewel Food Stores Inc

• In Home Supportive Care Agency in Germantown, WI
• Providers in Germantown, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.