Provider Demographics
NPI:1194442848
Name:BRADEN HOME HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:BRADEN HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KIBUIKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-907-0236
Mailing Address - Street 1:225 BROADWAY STE 305
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-3261
Mailing Address - Country:US
Mailing Address - Phone:978-258-1132
Mailing Address - Fax:978-655-5112
Practice Address - Street 1:225 BROADWAY STE 305
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-3261
Practice Address - Country:US
Practice Address - Phone:978-258-1132
Practice Address - Fax:978-655-5112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2025-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health