Provider Demographics
NPI:1790292308
Name:BJ & M HEALTHCARE SERVICES, LLC.
Entity Type:Organization
Organization Name:BJ & M HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIDUBEM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIWUZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-835-4703
Mailing Address - Street 1:3415 HORNBEAM DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082
Mailing Address - Country:US
Mailing Address - Phone:713-835-4703
Mailing Address - Fax:832-919-9029
Practice Address - Street 1:990 1 H 10 NORTH
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77702
Practice Address - Country:US
Practice Address - Phone:713-835-4703
Practice Address - Fax:832-919-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-04
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health