Provider Demographics
NPI:1558827725
Name:BRITO'S HOME II CORP.
Entity Type:Organization
Organization Name:BRITO'S HOME II CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAGALYS
Authorized Official - Middle Name:
Authorized Official - Last Name:FONTICIELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-403-1559
Mailing Address - Street 1:8603 NW 192ND LN
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-5326
Mailing Address - Country:US
Mailing Address - Phone:305-816-6558
Mailing Address - Fax:786-320-6165
Practice Address - Street 1:8603 NW 192ND LN
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-5326
Practice Address - Country:US
Practice Address - Phone:305-816-6558
Practice Address - Fax:786-320-6165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-13
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility