Provider Demographics
NPI:1427479591
Name:BRIGHAM HOME CARE SERVICES INC
Entity type:Organization
Organization Name:BRIGHAM HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:G
Authorized Official - Last Name:KAMANDU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-577-1058
Mailing Address - Street 1:82 SOUTH FRANKLIN STREET
Mailing Address - Street 2:UNIT #B
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343
Mailing Address - Country:US
Mailing Address - Phone:508-857-0627
Mailing Address - Fax:508-857-0720
Practice Address - Street 1:82 SOUTH FRANKLIN STREET
Practice Address - Street 2:UNIT #B
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343
Practice Address - Country:US
Practice Address - Phone:508-857-0627
Practice Address - Fax:508-857-0720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-17
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110103705-AMedicaid