Provider Demographics
NPI:1699371336
Name:BECE HOMECARE SERVICES, LLC
Entity Type:Organization
Organization Name:BECE HOMECARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS/CFO
Authorized Official - Prefix:
Authorized Official - First Name:BENNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ENEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-874-5761
Mailing Address - Street 1:321 MAIN ST STE 2A
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07095-1225
Mailing Address - Country:US
Mailing Address - Phone:732-874-5761
Mailing Address - Fax:732-874-5770
Practice Address - Street 1:321 MAIN ST STE 2A
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-1225
Practice Address - Country:US
Practice Address - Phone:732-874-5761
Practice Address - Fax:732-874-5770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care