Busted Windmill LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

13-013031-1 Issued in IN

Legal business name

BUSTED WINDMILL LLC

Doing business as

FirstLight Home Care

Practice address

2680 E Main St Ste 213
Plainfield, IN 46168-2828

Phone

(317) 586-2273

Fax

(317) 837-4901

NPI assigned

Mar 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Kristen Brandt Rogers

Title

Owner/Member

Phone

(317) 586-2273

Specialties & licenses 1

Addresses

Other names 1

• FirstLight Home Care Doing business as

Locations

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1871910208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 213",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682828",
            "telephone_number": "317-586-2273",
            "fax_number": "317-837-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 E MAIN ST STE 213",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461682828",
            "telephone_number": "317-586-2273",
            "fax_number": "317-837-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUSTED WINDMILL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-24",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "BRANDT",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "317-586-2273",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "13-013031-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FirstLight Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Plainfield, IN
• Providers in Plainfield, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2014; 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.