Healthcare Provider Details
I. General information
NPI: 1679606735
Provider Name (Legal Business Name): BHRAGS HOME CARE CORP.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 THOMAS S BOYLAND ST 3RD FLOOR
BROOKLYN NY
11212-5042
US
IV. Provider business mailing address
444 THOMAS S BOYLAND ST 3RD FLOOR
BROOKLYN NY
11212-5042
US
V. Phone/Fax
- Phone: 718-345-5940
- Fax: 718-345-5568
- Phone: 718-345-5940
- Fax: 718-345-5568
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name: MRS.
ELAINE
M
KNIGHT
Title or Position: EXECUTIVE DIRECTOR
Credential: MHA
Phone: 718-345-5940