Provider Demographics
NPI:1679908784
Name:BEMAX HOME HEALTH CARE
Entity Type:Organization
Organization Name:BEMAX HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN / DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONDIAT
Authorized Official - Middle Name:B
Authorized Official - Last Name:GBADAMOSI
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:646-286-7017
Mailing Address - Street 1:1710 ABACO DR
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-8558
Mailing Address - Country:US
Mailing Address - Phone:646-286-7017
Mailing Address - Fax:
Practice Address - Street 1:1710 ABACO DR
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-8558
Practice Address - Country:US
Practice Address - Phone:646-286-7017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-08
Last Update Date:2013-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health