Provider Demographics
NPI:1114916020
Name:BJK ENTERPRISES, INC
Entity Type:Organization
Organization Name:BJK ENTERPRISES, INC
Other - Org Name:HOSPICE HEALTHCARE NETWORK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BALINDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:ANTOINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-461-0154
Mailing Address - Street 1:306 E RANDOL MILL RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76011-5819
Mailing Address - Country:US
Mailing Address - Phone:817-461-0154
Mailing Address - Fax:817-275-9792
Practice Address - Street 1:306 E RANDOL MILL RD
Practice Address - Street 2:SUITE 160
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5819
Practice Address - Country:US
Practice Address - Phone:817-461-0154
Practice Address - Fax:817-275-9792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007850251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX451720Medicare Oscar/Certification