MEDICARE: BTSQUARED, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1003659723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BTSQUARED, LLC

Provider Business Mailing Address
First Line	:	9375 CHESAPEAKE ST STE 103
Second Line	:
City	:	LA PLATA
State	:	MD
Zip	:	20646-3656
Country	:	US
Telephone Number	:	240-696-2300
Fax Number	:

Provider Business Practice Location Address
First Line	:	9375 CHESAPEAKE ST STE 103
Second Line	:
City	:	LA PLATA
State	:	MD
Zip	:	20646-3656
Country	:	US
Telephone Number	:	240-696-2300
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KEVIN DWAYNE BODAS-TURNER
Credential	:
Telephone Number	:	641-680-3430

Provider Enumeration Date	:	06/18/2024
Last Update Date	:	10/31/2024

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