MEDICARE: BRIGGS AT HOME HEALTH 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1396430252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGGS AT HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	6533 CUTLER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3504
Country	:	US
Telephone Number	:	215-224-1245
Fax Number	:	215-224-1245

Provider Business Practice Location Address
First Line	:	6533 CUTLER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19126-3504
Country	:	US
Telephone Number	:	215-224-1245
Fax Number	:	215-224-1245

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE ANTONIO BRIGGS
Credential	:
Telephone Number	:	215-432-2009

Provider Enumeration Date	:	04/06/2023
Last Update Date	:	04/06/2023

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