Provider Demographics
NPI:1598085045
Name:BMR-3 VA, LLC
Entity Type:Organization
Organization Name:BMR-3 VA, LLC
Other - Org Name:AMERICAN SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:L
Authorized Official - Last Name:MCARDLE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:903-746-4327
Mailing Address - Street 1:905 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-5435
Mailing Address - Country:US
Mailing Address - Phone:903-230-9834
Mailing Address - Fax:903-230-9835
Practice Address - Street 1:4306 EVERGREEN LN
Practice Address - Street 2:SUITE 201
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3217
Practice Address - Country:US
Practice Address - Phone:877-344-8516
Practice Address - Fax:877-344-8571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health