Provider Demographics
NPI:1700650256
Name:B HOME CARE AL, LLC
Entity Type:Organization
Organization Name:B HOME CARE AL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:DOSCHADIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-657-7540
Mailing Address - Street 1:5500 MARYLAND WAY STE 320
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4976
Mailing Address - Country:US
Mailing Address - Phone:615-657-7540
Mailing Address - Fax:
Practice Address - Street 1:800 RICE VALLEY RD N
Practice Address - Street 2:
Practice Address - City:TUSCALOOSA
Practice Address - State:AL
Practice Address - Zip Code:35406-1660
Practice Address - Country:US
Practice Address - Phone:615-657-7540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B HOME CARE TN, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care