Provider Demographics
NPI:1598528523
Name:BEEJAY HOMECARE LLC
Entity Type:Organization
Organization Name:BEEJAY HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BOLAJI
Authorized Official - Middle Name:
Authorized Official - Last Name:ORIMOLOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-288-2259
Mailing Address - Street 1:3221 OAK RD APT WEST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1849
Mailing Address - Country:US
Mailing Address - Phone:216-288-2259
Mailing Address - Fax:
Practice Address - Street 1:3221 OAK RD APT WEST
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-1849
Practice Address - Country:US
Practice Address - Phone:216-288-2259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health