Provider Demographics
NPI:1881040491
Name:BAYSHINE HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:BAYSHINE HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YEMISI
Authorized Official - Middle Name:TOLU
Authorized Official - Last Name:ABOLARINDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-462-0250
Mailing Address - Street 1:9015 PEACH STONE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-5095
Mailing Address - Country:US
Mailing Address - Phone:832-462-0250
Mailing Address - Fax:
Practice Address - Street 1:9015 PEACH STONE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-5095
Practice Address - Country:US
Practice Address - Phone:832-462-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty