Provider Demographics
NPI:1568870798
Name:BUSHBY ENTERPRISES INC
Entity Type:Organization
Organization Name:BUSHBY ENTERPRISES INC
Other - Org Name:COMECARE HOME CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BUSHBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-825-0111
Mailing Address - Street 1:1375 COUNTRY SIDE DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43055-9364
Mailing Address - Country:US
Mailing Address - Phone:740-815-0111
Mailing Address - Fax:740-915-4324
Practice Address - Street 1:1375 COUNTRY SIDE DR
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-9364
Practice Address - Country:US
Practice Address - Phone:740-815-0111
Practice Address - Fax:740-915-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health