Provider Demographics
NPI:1518427111
Name:BLUEBELL HOME CARE LLC
Entity Type:Organization
Organization Name:BLUEBELL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVJOT SINGH
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-503-5845
Mailing Address - Street 1:9750 BUNKER HILL LN UNIT 62
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-7210
Mailing Address - Country:US
Mailing Address - Phone:937-503-5845
Mailing Address - Fax:513-672-2677
Practice Address - Street 1:9750 BUNKER HILL LN UNIT 62
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-7210
Practice Address - Country:US
Practice Address - Phone:937-503-5845
Practice Address - Fax:513-672-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-21
Last Update Date:2019-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0277958Medicaid