Provider Demographics
NPI:1295030492
Name:BAHMAN INC
Entity Type:Organization
Organization Name:BAHMAN INC
Other - Org Name:PREFERRED CARE AT HOME OF WNY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BAHMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUVIFARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-406-2662
Mailing Address - Street 1:PO BOX 328
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-0328
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8650 GOLDEN ROD CT
Practice Address - Street 2:
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-2071
Practice Address - Country:US
Practice Address - Phone:716-406-2662
Practice Address - Fax:716-741-2721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care