BRAVO CARE OF ROCKFORD INC NPI 1003003765

Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)

BRAVO CARE OF ROCKFORD INC

Bravo Care Of Rockford Inc is a durable medical equipment & medical supplies in Rockford, IL. Bravo Care Of Rockford Inc NPI is 1003003765. The provider's taxonomy code is 332BP3500X - Durable Medical Equipment & Medical Supplies.The provider is doing business as is Rosewood Care Center Of Rockford.

NPI Profile Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

NPI: 1003003765
Provider Name: BRAVO CARE OF ROCKFORD INC
NPI Entity Type: Organization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).

Is Sole Proprietor?: N/A
Is Organization Subpart?: No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Enumeration Date: 09-26-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 01-20-2009 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.


Other Organization Name: ROSEWOOD CARE CENTER OF ROCKFORD Additional informationCallout TooltipProvider other organization name
The alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. Codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Other Name Type: Doing Business As (3)

Authorized Official Name: MICHAEL BRADY Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Authorized Official Title: PRESIDENT
Authorized Official Phone: (314) 994-9070


Map Location


BRAVO CARE OF ROCKFORD INC address is 1660 S MULFORD RD ROCKFORD, IL 61108 Get Directions