Provider Demographics
NPI:1851642615
Name:BRR HOME HEALTH CARE
Entity Type:Organization
Organization Name:BRR HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:202-500-2564
Mailing Address - Street 1:225 HAWAII AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4927
Mailing Address - Country:US
Mailing Address - Phone:202-500-2564
Mailing Address - Fax:202-529-1121
Practice Address - Street 1:225 HAWAII AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4927
Practice Address - Country:US
Practice Address - Phone:202-500-2564
Practice Address - Fax:202-529-1121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC320800000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities