Provider Demographics
NPI:1568273860
Name:4BROTHERS HOME CARE LLC
Entity type:Organization
Organization Name:4BROTHERS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HAPPY
Authorized Official - Middle Name:
Authorized Official - Last Name:MESIFINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-444-6193
Mailing Address - Street 1:8649 LAS VEGAS CT APT 2823
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76116-0045
Mailing Address - Country:US
Mailing Address - Phone:682-444-6193
Mailing Address - Fax:
Practice Address - Street 1:8649 LAS VEGAS CT APT 2823
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76116-0045
Practice Address - Country:US
Practice Address - Phone:682-444-6193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty