Provider Demographics
NPI:1073527404
Name:BRECK HOME CARE, INC.
Entity Type:Organization
Organization Name:BRECK HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JILL
Authorized Official - Middle Name:L
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:254-559-2787
Mailing Address - Street 1:1226 W WALKER ST
Mailing Address - Street 2:
Mailing Address - City:BRECKENRIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:76424-3342
Mailing Address - Country:US
Mailing Address - Phone:254-559-2787
Mailing Address - Fax:254-559-3336
Practice Address - Street 1:1226 W WALKER ST
Practice Address - Street 2:
Practice Address - City:BRECKENRIDGE
Practice Address - State:TX
Practice Address - Zip Code:76424-3342
Practice Address - Country:US
Practice Address - Phone:254-559-2787
Practice Address - Fax:254-559-3336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health