Healthcare Provider Details

I. General information

NPI: 1164153664
Provider Name (Legal Business Name): BRICE GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2022
Last Update Date: 06/23/2022
Certification Date: 06/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

149 OAK AVE
CLOVIS CA
93611-7228
US

IV. Provider business mailing address

149 OAK AVE
CLOVIS CA
93611-7228
US

V. Phone/Fax

Practice location:
  • Phone: 559-970-5619
  • Fax:
Mailing address:
  • Phone: 559-970-5619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MS. NASTASSHA BRICE
Title or Position: PRESIDENT/OWNER/CEO
Credential: RN
Phone: 559-970-5619