Provider Demographics
NPI:1376180943
Name:BAILEY FAMILY CARE SERVICES INC
Entity Type:Organization
Organization Name:BAILEY FAMILY CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTO-JAY
Authorized Official - Middle Name:ASHLEY
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-832-9385
Mailing Address - Street 1:190 NE 199TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33179-2927
Mailing Address - Country:US
Mailing Address - Phone:305-832-9385
Mailing Address - Fax:800-356-3159
Practice Address - Street 1:190 NE 199TH ST STE 102
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33179-2927
Practice Address - Country:US
Practice Address - Phone:305-832-9385
Practice Address - Fax:800-356-3159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health