Provider Demographics
NPI:1780899815
Name:BHRAGS HOUSEKEEPING INC.
Entity type:Organization
Organization Name:BHRAGS HOUSEKEEPING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PADUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-493-3003
Mailing Address - Street 1:444 THOMAS S BOYLAND ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-5042
Mailing Address - Country:US
Mailing Address - Phone:718-493-3003
Mailing Address - Fax:718-493-3217
Practice Address - Street 1:1212 E NEW YORK AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3832
Practice Address - Country:US
Practice Address - Phone:718-493-3003
Practice Address - Fax:718-493-3217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02415901Medicaid