Provider Demographics
NPI:1235600800
Name:BRIO ARIZONA HOME HEALTH, LLC
Entity Type:Organization
Organization Name:BRIO ARIZONA HOME HEALTH, LLC
Other - Org Name:THE PINES HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-401-1369
Mailing Address - Street 1:6719 E 2ND ST STE A-2
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-2661
Mailing Address - Country:US
Mailing Address - Phone:928-608-5704
Mailing Address - Fax:
Practice Address - Street 1:6719 E 2ND ST STE A-2
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-2661
Practice Address - Country:US
Practice Address - Phone:928-608-5704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-07
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health