Provider Demographics
NPI:1841754439
Name:AFBRIMA HOME CARE LLC
Entity Type:Organization
Organization Name:AFBRIMA HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIGITTE
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-906-4245
Mailing Address - Street 1:11445 COLUMBIA PIKE
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2530
Mailing Address - Country:US
Mailing Address - Phone:301-906-4245
Mailing Address - Fax:
Practice Address - Street 1:11445 COLUMBIA PIKE
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2530
Practice Address - Country:US
Practice Address - Phone:301-906-4245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care