Provider Demographics
NPI:1952601858
Name:HOME HEALTH OF BRYAN, LLC
Entity Type:Organization
Organization Name:HOME HEALTH OF BRYAN, LLC
Other - Org Name:ALPINE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NEETI
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-636-2702
Mailing Address - Street 1:1440 S BYRNE RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43614-2363
Mailing Address - Country:US
Mailing Address - Phone:419-799-1589
Mailing Address - Fax:419-636-6460
Practice Address - Street 1:210 N WILSON DR
Practice Address - Street 2:
Practice Address - City:WEST UNION
Practice Address - State:OH
Practice Address - Zip Code:45693-1185
Practice Address - Country:US
Practice Address - Phone:800-350-8247
Practice Address - Fax:419-636-6460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health