Provider Demographics
NPI:1154487791
Name:BRIO HOME HEALTH AGENCY,LLC
Entity Type:Organization
Organization Name:BRIO HOME HEALTH AGENCY,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IRELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIOS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-262-0770
Mailing Address - Street 1:PO BOX 68
Mailing Address - Street 2:
Mailing Address - City:ELSA
Mailing Address - State:TX
Mailing Address - Zip Code:78543-0068
Mailing Address - Country:US
Mailing Address - Phone:956-262-0770
Mailing Address - Fax:956-262-0772
Practice Address - Street 1:9825 FM 1925
Practice Address - Street 2:
Practice Address - City:EDCOUCH
Practice Address - State:TX
Practice Address - Zip Code:78538-2512
Practice Address - Country:US
Practice Address - Phone:956-262-0770
Practice Address - Fax:956-262-0772
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009986251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX67-9586Medicare ID - Type Unspecified