Provider Demographics
NPI:1700903747
Name:BRITE HEALTHCARE, LLC
Entity Type:Organization
Organization Name:BRITE HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:N
Authorized Official - Last Name:KRIENIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-945-4000
Mailing Address - Street 1:PO BOX 5647
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77491-5647
Mailing Address - Country:US
Mailing Address - Phone:281-945-4000
Mailing Address - Fax:281-945-4055
Practice Address - Street 1:21400 PROVINCIAL BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1744
Practice Address - Country:US
Practice Address - Phone:281-945-4000
Practice Address - Fax:281-945-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6010310001Medicare NSC