Provider Demographics
NPI:1932751385
Name:BAILAH HOMECARE LLC
Entity Type:Organization
Organization Name:BAILAH HOMECARE LLC
Other - Org Name:BAILAH HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHARISMA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-642-0900
Mailing Address - Street 1:6710A ROCKLEDGE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-2847
Mailing Address - Country:US
Mailing Address - Phone:301-642-0900
Mailing Address - Fax:301-941-4074
Practice Address - Street 1:6710A ROCKLEDGE DR STE 400
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-2847
Practice Address - Country:US
Practice Address - Phone:301-642-0900
Practice Address - Fax:301-941-4074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-15
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care