Provider Demographics
NPI:1245014711
Name:BISMILLAH HOME CARE INC
Entity type:Organization
Organization Name:BISMILLAH HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SM ABU
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAHED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-907-4444
Mailing Address - Street 1:5826 BUFORD HWY STE B
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30071-2515
Mailing Address - Country:US
Mailing Address - Phone:678-907-4444
Mailing Address - Fax:
Practice Address - Street 1:5826 BUFORD HWY STE B
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30071-2515
Practice Address - Country:US
Practice Address - Phone:678-907-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care