Provider Demographics
NPI:1790178275
Name:BRANDYWINE HOME CARE LLC
Entity Type:Organization
Organization Name:BRANDYWINE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-354-7027
Mailing Address - Street 1:101 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-3631
Mailing Address - Country:US
Mailing Address - Phone:484-354-7027
Mailing Address - Fax:610-696-3396
Practice Address - Street 1:101 MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-3631
Practice Address - Country:US
Practice Address - Phone:484-354-7027
Practice Address - Fax:610-696-3396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-09
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health