Provider Demographics
NPI:1932397262
Name:BREWSTER GROUP INC
Entity Type:Organization
Organization Name:BREWSTER GROUP INC
Other - Org Name:MGN HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ ARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-770-4650
Mailing Address - Street 1:6175 NW 153RD ST
Mailing Address - Street 2:SUITE 328
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33014-2435
Mailing Address - Country:US
Mailing Address - Phone:305-770-4650
Mailing Address - Fax:305-770-4697
Practice Address - Street 1:6175 NW 153RD ST
Practice Address - Street 2:SUITE 328
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014-2435
Practice Address - Country:US
Practice Address - Phone:305-770-4650
Practice Address - Fax:305-770-4697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299991899251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health