Provider Demographics
NPI:1982939815
Name:BESTCARE PT/OT SERVICES INC
Entity Type:Organization
Organization Name:BESTCARE PT/OT SERVICES INC
Other - Org Name:BESTCARE PT/OT SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KOLAWOLE
Authorized Official - Middle Name:ABIODUN
Authorized Official - Last Name:ADEOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-415-6505
Mailing Address - Street 1:600 REISTERSTOWN RD STE 210
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5105
Mailing Address - Country:US
Mailing Address - Phone:410-415-6505
Mailing Address - Fax:410-415-6506
Practice Address - Street 1:600 REISTERSTOWN ROAD SUITE 210
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208
Practice Address - Country:US
Practice Address - Phone:410-415-6505
Practice Address - Fax:410-415-6506
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BESTCARE RESIDENTIAL, SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2802251B00000X, 251E00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management