Provider Demographics
NPI:1871952572
Name:BARBARA BROWNE HEALTHCARE
Entity type:Organization
Organization Name:BARBARA BROWNE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SHAREHOLDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:BREMERTHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-941-8443
Mailing Address - Street 1:550 W VISTA WAY STE 309
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92083-5717
Mailing Address - Country:US
Mailing Address - Phone:760-941-8443
Mailing Address - Fax:760-941-6427
Practice Address - Street 1:550 W VISTA WAY STE 309
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5717
Practice Address - Country:US
Practice Address - Phone:760-941-8443
Practice Address - Fax:760-941-6427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374700070253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA374700070OtherHOME CARE ORGANIZATION