Provider Demographics
NPI:1033416011
Name:WEBB HEALTHCARE
Entity Type:Organization
Organization Name:WEBB HEALTHCARE
Other - Org Name:BRIGHTSTAR OF LAFAYETTE INDIANA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-237-3650
Mailing Address - Street 1:25 EXECUTIVE DR
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:LAFAYETTE
Mailing Address - State:IN
Mailing Address - Zip Code:47905-3834
Mailing Address - Country:US
Mailing Address - Phone:765-237-3650
Mailing Address - Fax:765-237-3652
Practice Address - Street 1:25 EXECUTIVE DR
Practice Address - Street 2:SUITE 2A
Practice Address - City:LAFAYETTE
Practice Address - State:IN
Practice Address - Zip Code:47905-3834
Practice Address - Country:US
Practice Address - Phone:765-237-3650
Practice Address - Fax:765-237-3652
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health