Provider Demographics
NPI:1467218073
Name:BAC2HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:BAC2HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:C
Authorized Official - Last Name:ANOSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-885-1651
Mailing Address - Street 1:1734 WEATHERED WOOD TRL
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45459-7510
Mailing Address - Country:US
Mailing Address - Phone:513-885-1651
Mailing Address - Fax:
Practice Address - Street 1:1734 WEATHERED WOOD TRL
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:45459-7510
Practice Address - Country:US
Practice Address - Phone:513-885-1651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health