Provider Demographics
NPI:1316355746
Name:BC HOME HEALTH AGENCY
Entity Type:Organization
Organization Name:BC HOME HEALTH AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-910-4721
Mailing Address - Street 1:668 EUCLID AVE
Mailing Address - Street 2:#618
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44114-3006
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:668 EUCLID AVE
Practice Address - Street 2:#618
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44114-3006
Practice Address - Country:US
Practice Address - Phone:216-307-3173
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health