Provider Demographics
NPI:1700292406
Name:BACI HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BACI HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-367-5611
Mailing Address - Street 1:715 TWINING RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DRESHER
Mailing Address - State:PA
Mailing Address - Zip Code:19025-1831
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:715 TWINING RD
Practice Address - Street 2:SUITE 108
Practice Address - City:DRESHER
Practice Address - State:PA
Practice Address - Zip Code:19025-1831
Practice Address - Country:US
Practice Address - Phone:215-367-5611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health