Provider Demographics
NPI:1285041079
Name:BROOKLYN HOME HEALTH
Entity Type:Organization
Organization Name:BROOKLYN HOME HEALTH
Other - Org Name:BROOKLYN HEALTH, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPS
Authorized Official - Prefix:MISS
Authorized Official - First Name:NAISHA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-208-0975
Mailing Address - Street 1:6901 78TH AVE N
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2720
Mailing Address - Country:US
Mailing Address - Phone:763-208-0975
Mailing Address - Fax:763-204-7024
Practice Address - Street 1:6901 78TH AVE N
Practice Address - Street 2:SUITE 104
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2720
Practice Address - Country:US
Practice Address - Phone:763-208-0975
Practice Address - Fax:763-204-7024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-14
Last Update Date:2014-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNA378638400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health