Provider Demographics
NPI:1740566934
Name:BRENAYA HOME CARE CORP
Entity Type:Organization
Organization Name:BRENAYA HOME CARE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-599-9434
Mailing Address - Street 1:8051 NW 36TH ST STE 600C
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6626
Mailing Address - Country:US
Mailing Address - Phone:305-599-9434
Mailing Address - Fax:
Practice Address - Street 1:8051 NW 36TH ST STE 600C
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6626
Practice Address - Country:US
Practice Address - Phone:305-599-9434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health