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NPI Code Detail

MEDICARE: 4BROTHERS HOME CARE LLC

MEDICARE: 4BROTHERS HOME CARE 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
13747P1801XPersonal Care Attendant
2253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1568273860
Entity Type Code : Organization
Provider Name (Legal Business Name) : 4BROTHERS HOME CARE LLC
Provider Business Mailing Address
First Line : 8649 LAS VEGAS CT APT 2823
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-0045
Country : US
Telephone Number : 682-444-6193
Fax Number :
Provider Business Practice Location Address
First Line : 8649 LAS VEGAS CT APT 2823
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-0045
Country : US
Telephone Number : 682-444-6193
Fax Number :
Authorized Official
Title or Position : MEMBER
Name : HAPPY MESIFINI
Credential :
Telephone Number : 682-444-6193
Provider Enumeration Date : 01/15/2025
Last Update Date : 02/06/2025

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