MEDICARE: BRIGGS ACQUISITION

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

General Provider Information

NPI Number	:	1558199612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGGS ACQUISITION

Provider Business Mailing Address
First Line	:	11710 ADMINISTRATION DR STE 48
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3407
Country	:	US
Telephone Number	:	314-432-4312
Fax Number	:

Provider Business Practice Location Address
First Line	:	11710 ADMINISTRATION DR STE 48
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63146-3407
Country	:	US
Telephone Number	:	314-432-4312
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	BRAD DEICH
Credential	:	CFO
Telephone Number	:	515-453-8880

Provider Enumeration Date	:	07/22/2024
Last Update Date	:	03/03/2026

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