Provider Demographics
NPI:1295365658
Name:BLC HOMEHEALTH INC.
Entity Type:Organization
Organization Name:BLC HOMEHEALTH INC.
Other - Org Name:A1 HOME HEALTH, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:RAMOS
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-862-3508
Mailing Address - Street 1:2401 MERCED ST STE 400
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-4200
Mailing Address - Country:US
Mailing Address - Phone:510-862-3508
Mailing Address - Fax:
Practice Address - Street 1:2401 MERCED ST STE 400
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-4200
Practice Address - Country:US
Practice Address - Phone:510-738-0888
Practice Address - Fax:510-738-0800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-23
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health