MEDICARE: BRIGHTENING CONNECTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	8366	MN

General Provider Information

NPI Number	:	1053650374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTENING CONNECTIONS LLC

Provider Business Mailing Address
First Line	:	1111 ELWAY ST
Second Line	:	APT 504
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3234
Country	:	US
Telephone Number	:	651-785-3059
Fax Number	:

Provider Business Practice Location Address
First Line	:	1111 ELWAY ST
Second Line	:	APT 504
City	:	SAINT PAUL
State	:	MN
Zip	:	55116-3234
Country	:	US
Telephone Number	:	651-785-3059
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAMANTHA A SAWYER
Credential	:	M.A. CCC-SLP
Telephone Number	:	657-785-3059

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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