Provider Demographics
NPI:1619708427
Name:BRIKADA CARES LLC
Entity type:Organization
Organization Name:BRIKADA CARES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEM
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:MOBISA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-514-8879
Mailing Address - Street 1:108 CAMELLIA WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5522
Mailing Address - Country:US
Mailing Address - Phone:404-514-8879
Mailing Address - Fax:
Practice Address - Street 1:108 CAMELLIA WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5522
Practice Address - Country:US
Practice Address - Phone:404-514-8879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty