Provider Demographics
NPI:1083847602
Name:BRANDT HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:BRANDT HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:RAKEBRANDT
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:732-687-7157
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-0334
Mailing Address - Country:US
Mailing Address - Phone:732-687-7157
Mailing Address - Fax:732-264-3271
Practice Address - Street 1:38 MILLBROOK DR
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NJ
Practice Address - Zip Code:07748-2226
Practice Address - Country:US
Practice Address - Phone:732-687-7157
Practice Address - Fax:732-264-3271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-30
Last Update Date:2009-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP05409300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health