Provider Demographics
NPI:1558631606
Name:BAYEAB HEALTH CARE SERVICES,INC
Entity Type:Organization
Organization Name:BAYEAB HEALTH CARE SERVICES,INC
Other - Org Name:BAYEAB HEALTH CARE SERVICES, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:OLUFUNMILOLA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTER NURSE
Authorized Official - Phone:202-427-1211
Mailing Address - Street 1:728 HAMILTON ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1416
Mailing Address - Country:US
Mailing Address - Phone:202-427-1211
Mailing Address - Fax:
Practice Address - Street 1:728 HAMILTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-4032
Practice Address - Country:US
Practice Address - Phone:202-427-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3140N1450X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child