Provider Demographics
NPI:1790549335
Name:BHG HOMES LLC
Entity Type:Organization
Organization Name:BHG HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LLC MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ADETOUN
Authorized Official - Middle Name:ADEJOKE
Authorized Official - Last Name:ONWAEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-327-3080
Mailing Address - Street 1:4568 DON VALDES DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90008-4117
Mailing Address - Country:US
Mailing Address - Phone:323-327-3080
Mailing Address - Fax:
Practice Address - Street 1:1742 W 59TH PL
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90047-1103
Practice Address - Country:US
Practice Address - Phone:323-327-3080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home