Provider Demographics
NPI:1770799397
Name:BIDA HOME HEALTH, INC.
Entity type:Organization
Organization Name:BIDA HOME HEALTH, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LUISITO
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGUITAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-967-2951
Mailing Address - Street 1:643 S 2ND AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91723-3512
Mailing Address - Country:US
Mailing Address - Phone:626-967-2951
Mailing Address - Fax:
Practice Address - Street 1:643 S 2ND AVE
Practice Address - Street 2:UNIT C
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3512
Practice Address - Country:US
Practice Address - Phone:626-967-2951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA=========OtherEIN