Provider Demographics
NPI:1023897717
Name:POSSIBILITIES AT HOME INC
Entity type:Organization
Organization Name:POSSIBILITIES AT HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BRZYCKI
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA
Authorized Official - Phone:262-416-8317
Mailing Address - Street 1:795 NEW YORK AVE
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-3426
Mailing Address - Country:US
Mailing Address - Phone:262-416-8317
Mailing Address - Fax:
Practice Address - Street 1:2502 BERKLEY DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3407
Practice Address - Country:US
Practice Address - Phone:262-416-8362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POSSIBILITIES AT HOME INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care