Provider Demographics
NPI:1396985750
Name:BHAC, LLC
Entity type:Organization
Organization Name:BHAC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENETTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BELEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-521-1337
Mailing Address - Street 1:PO BOX 2527
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92837-0527
Mailing Address - Country:US
Mailing Address - Phone:714-521-1337
Mailing Address - Fax:714-521-1338
Practice Address - Street 1:7342 ORANGETHORPE AVE STE B109
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-3330
Practice Address - Country:US
Practice Address - Phone:714-521-1337
Practice Address - Fax:714-521-1338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-25
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care