Provider Demographics
NPI:1265129381
Name:BOND HOME CARE LLC
Entity type:Organization
Organization Name:BOND HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:WALID
Authorized Official - Last Name:JAHANGIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-402-1571
Mailing Address - Street 1:5616 HILLSIDE CT
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55439-1220
Mailing Address - Country:US
Mailing Address - Phone:612-402-1571
Mailing Address - Fax:612-800-9398
Practice Address - Street 1:5616 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-1220
Practice Address - Country:US
Practice Address - Phone:612-402-1571
Practice Address - Fax:612-800-9398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility