Provider Demographics
NPI:1497067128
Name:BROOKS HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:BROOKS HOME HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:PEARL
Authorized Official - Last Name:EARSKINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-652-0557
Mailing Address - Street 1:5003 LORI CIRCLE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810
Mailing Address - Country:US
Mailing Address - Phone:256-652-0557
Mailing Address - Fax:
Practice Address - Street 1:5003 LORI CIR NW
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-3041
Practice Address - Country:US
Practice Address - Phone:256-652-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-10
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL132451253Z00000X
AL12112253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care