Provider Demographics
NPI:1871253237
Name:BISTOY HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:BISTOY HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FAJINMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-917-3942
Mailing Address - Street 1:501 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:DARBY
Mailing Address - State:PA
Mailing Address - Zip Code:19023-3119
Mailing Address - Country:US
Mailing Address - Phone:215-917-3942
Mailing Address - Fax:
Practice Address - Street 1:501 S 4TH ST
Practice Address - Street 2:
Practice Address - City:DARBY
Practice Address - State:PA
Practice Address - Zip Code:19023-3119
Practice Address - Country:US
Practice Address - Phone:215-917-3942
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-28
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health