MEDICARE: BRIGHTON HOME CARE

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	2268L001	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396288775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHTON HOME CARE

Provider Business Mailing Address
First Line	:	1600 SHEEPSHEAD BAY RD STE 203
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3847
Country	:	US
Telephone Number	:	718-368-4000
Fax Number	:	718-368-4001

Provider Business Practice Location Address
First Line	:	1600 SHEEPSHEAD BAY RD STE 203
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3847
Country	:	US
Telephone Number	:	718-368-4000
Fax Number	:	718-368-4001

Authorized Official
Title or Position	:	RN/DPS
Name	:	MS. EVA ISRAILOVA
Credential	:
Telephone Number	:	718-368-4000

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	12/02/2016

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Directions to “BRIGHTON HOME CARE ” Practice Location

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