=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184414450
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BRILLAVIA HOME CARE SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/09/2025
-----------------------------------------------------
Last Update Date | 02/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2763 E SHAW AVE STE 107
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93710-8220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-403-3832
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2763 E SHAW AVE STE 107
-----------------------------------------------------
City | FRESNO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93710-8220
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 559-403-3832
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-OWNER
-----------------------------------------------------
Name | MS. MARIELLA ABUAN GACAD
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 559-403-3832
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------