Provider Demographics
NPI:1730936188
Name:BRIGHTENLIFE HOSPICE, L.L.C.
Entity type:Organization
Organization Name:BRIGHTENLIFE HOSPICE, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SVP
Authorized Official - Prefix:
Authorized Official - First Name:HYRUM
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-599-0485
Mailing Address - Street 1:2333 E DINOSAUR CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-1907
Mailing Address - Country:US
Mailing Address - Phone:888-585-1475
Mailing Address - Fax:385-501-7111
Practice Address - Street 1:2333 E DINOSAUR CROSSING DR
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84790-1907
Practice Address - Country:US
Practice Address - Phone:888-585-1475
Practice Address - Fax:385-501-7111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based