Provider Demographics
NPI:1205082278
Name:BREMA HEALTHCARE INC
Entity type:Organization
Organization Name:BREMA HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/SUPERVISING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:VAISHALI
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-339-9466
Mailing Address - Street 1:401 S SHERMAN ST STE 309
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-4003
Mailing Address - Country:US
Mailing Address - Phone:214-339-9466
Mailing Address - Fax:214-339-2733
Practice Address - Street 1:401 S SHERMAN ST STE 309
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-4003
Practice Address - Country:US
Practice Address - Phone:214-339-9466
Practice Address - Fax:214-339-2733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-11
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health