Provider Demographics
NPI:1457087595
Name:BLEHEALTH, LLC
Entity Type:Organization
Organization Name:BLEHEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KEULEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-463-8998
Mailing Address - Street 1:11558 VIA MONTE
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92337-7924
Mailing Address - Country:US
Mailing Address - Phone:626-463-8998
Mailing Address - Fax:
Practice Address - Street 1:300 S PARK AVE STE 817
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91766-1501
Practice Address - Country:US
Practice Address - Phone:626-463-8998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-30
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage