Provider Demographics
NPI:1417310061
Name:BMH CORP.,LLC
Entity Type:Organization
Organization Name:BMH CORP.,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YULIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOSTISHCHEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-282-3578
Mailing Address - Street 1:1210 S PARKER RD
Mailing Address - Street 2:200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-7555
Mailing Address - Country:US
Mailing Address - Phone:720-282-3578
Mailing Address - Fax:303-963-5641
Practice Address - Street 1:13140 E MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-3427
Practice Address - Country:US
Practice Address - Phone:720-282-3578
Practice Address - Fax:720-282-3579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-31
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251S00000XAgenciesCommunity/Behavioral Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO11857277Medicaid