Provider Demographics
NPI:1093986200
Name:BPM SERVICES OF JACKSONVILLE
Entity Type:Organization
Organization Name:BPM SERVICES OF JACKSONVILLE
Other - Org Name:HOMEHELPERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEIGLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-642-4700
Mailing Address - Street 1:10151 DEERWOOD PARK BLVD
Mailing Address - Street 2:BUILDING 200, SUITE 250
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0566
Mailing Address - Country:US
Mailing Address - Phone:904-642-4700
Mailing Address - Fax:904-375-1926
Practice Address - Street 1:10151 DEERWOOD PARK BLVD
Practice Address - Street 2:BUILDING 200, SUITE 250
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-0566
Practice Address - Country:US
Practice Address - Phone:904-642-4700
Practice Address - Fax:904-375-1926
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230336251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health