Provider Demographics
NPI:1477188910
Name:MEDBIRDS INC.
Entity Type:Organization
Organization Name:MEDBIRDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMANE
Authorized Official - Middle Name:
Authorized Official - Last Name:OUTTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-473-1145
Mailing Address - Street 1:1601 NEW STINE RD STE 185
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-3699
Mailing Address - Country:US
Mailing Address - Phone:661-447-3223
Mailing Address - Fax:
Practice Address - Street 1:1601 NEW STINE RD STE 185
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3699
Practice Address - Country:US
Practice Address - Phone:661-473-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-05
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care