Provider Demographics
NPI:1578795381
Name:BAI HEALTHCARE STAFFING LLC
Entity Type:Organization
Organization Name:BAI HEALTHCARE STAFFING LLC
Other - Org Name:HOME HEALTH MATES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:BURRINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-723-0116
Mailing Address - Street 1:601 E BROAD ST
Mailing Address - Street 2:SUITE #100 PO BOX 64201
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1263
Mailing Address - Country:US
Mailing Address - Phone:215-723-0116
Mailing Address - Fax:215-723-8777
Practice Address - Street 1:601 E BROAD ST STE 100
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1263
Practice Address - Country:US
Practice Address - Phone:215-723-0116
Practice Address - Fax:215-723-8777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03610501251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health