Provider Demographics
NPI:1912589854
Name:BREEN FAMILY LLC
Entity type:Organization
Organization Name:BREEN FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-880-0352
Mailing Address - Street 1:3175 KING EDWARD CT
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-5829
Mailing Address - Country:US
Mailing Address - Phone:916-880-0352
Mailing Address - Fax:
Practice Address - Street 1:5642 J ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95819-3949
Practice Address - Country:US
Practice Address - Phone:915-857-8400
Practice Address - Fax:916-244-3504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care