Provider Demographics
NPI:1245221118
Name:BATHSOLUTIONS HEALTHCARE AGENCY, LLC
Entity Type:Organization
Organization Name:BATHSOLUTIONS HEALTHCARE AGENCY, LLC
Other - Org Name:BATHSOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:240-672-2183
Mailing Address - Street 1:16513 BATSON RD
Mailing Address - Street 2:
Mailing Address - City:SPENCERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20868-3201
Mailing Address - Country:US
Mailing Address - Phone:866-845-2284
Mailing Address - Fax:800-966-0630
Practice Address - Street 1:16513 BATSON RD
Practice Address - Street 2:
Practice Address - City:SPENCERVILLE
Practice Address - State:MD
Practice Address - Zip Code:20868-3201
Practice Address - Country:US
Practice Address - Phone:866-845-2284
Practice Address - Fax:800-966-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health