Provider Demographics
NPI:1942752126
Name:BAM HOUSE INC
Entity Type:Organization
Organization Name:BAM HOUSE INC
Other - Org Name:BLESSED ABOVE MEASURE MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-307-2454
Mailing Address - Street 1:1828 N MANSARD BLVD APT 2G
Mailing Address - Street 2:
Mailing Address - City:GRIFFITH
Mailing Address - State:IN
Mailing Address - Zip Code:46319-1350
Mailing Address - Country:US
Mailing Address - Phone:312-307-2454
Mailing Address - Fax:
Practice Address - Street 1:431 N GENESEE ST
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-4005
Practice Address - Country:US
Practice Address - Phone:312-307-2454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility