Provider Demographics
NPI:1578292991
Name:2BROS CARES PROFESSIONAL SERVICE CORPORATION
Entity Type:Organization
Organization Name:2BROS CARES PROFESSIONAL SERVICE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:HALLADA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-402-2597
Mailing Address - Street 1:169 NORTHTOWN DR NE
Mailing Address - Street 2:
Mailing Address - City:BLAINE
Mailing Address - State:MN
Mailing Address - Zip Code:55434-1036
Mailing Address - Country:US
Mailing Address - Phone:763-402-2597
Mailing Address - Fax:
Practice Address - Street 1:169 NORTHTOWN DR NE
Practice Address - Street 2:
Practice Address - City:BLAINE
Practice Address - State:MN
Practice Address - Zip Code:55434-1036
Practice Address - Country:US
Practice Address - Phone:763-402-2597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home