Provider Demographics
NPI:1205461894
Name:BRIVA HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:BRIVA HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:ABU
Authorized Official - Middle Name:
Authorized Official - Last Name:JEILANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-673-3368
Mailing Address - Street 1:8320 N OAK TRFY STE 225
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1267
Mailing Address - Country:US
Mailing Address - Phone:816-673-3368
Mailing Address - Fax:
Practice Address - Street 1:8320 N OAK TRFY STE 225
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1267
Practice Address - Country:US
Practice Address - Phone:816-673-3368
Practice Address - Fax:816-766-0973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health