Provider Demographics
NPI:1588665210
Name:BOWIE INVESTMENT GROUP INC
Entity Type:Organization
Organization Name:BOWIE INVESTMENT GROUP INC
Other - Org Name:MD HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:L
Authorized Official - Last Name:FURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-266-9971
Mailing Address - Street 1:7500 N DREAMY DRAW DR STE 200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-4669
Mailing Address - Country:US
Mailing Address - Phone:602-266-9971
Mailing Address - Fax:602-266-9968
Practice Address - Street 1:7500 N DREAMY DRAW DR STE 200
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-4669
Practice Address - Country:US
Practice Address - Phone:602-266-9971
Practice Address - Fax:602-266-9968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHHA0178251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ123000Medicaid
AZ123000Medicaid