Provider Demographics
NPI:1265962260
Name:BAKUCARE, LLC
Entity type:Organization
Organization Name:BAKUCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR/MANAGER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ONONIBAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-584-0300
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-0425
Mailing Address - Country:US
Mailing Address - Phone:413-627-0043
Mailing Address - Fax:
Practice Address - Street 1:49 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9415
Practice Address - Country:US
Practice Address - Phone:413-584-0300
Practice Address - Fax:413-584-1684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-13
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174200000X, 251B00000X, 251J00000X, 261QA0600X, 343900000X
MA251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)