Provider Demographics
NPI:1407283369
Name:BH MANAGEMENT SERVICES, LLC
Entity Type:Organization
Organization Name:BH MANAGEMENT SERVICES, LLC
Other - Org Name:101 MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARVIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STORM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:669-222-9264
Mailing Address - Street 1:2109 OTOOLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-1338
Mailing Address - Country:US
Mailing Address - Phone:669-222-9264
Mailing Address - Fax:408-824-5082
Practice Address - Street 1:2109 OTOOLE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-1338
Practice Address - Country:US
Practice Address - Phone:669-222-9264
Practice Address - Fax:408-824-5082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABHC101SCC332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABHC101SCCOther101 MOBILITY ID