MEDICARE: BC HOME HEALTH AGENCY

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316355746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BC HOME HEALTH AGENCY

Provider Business Mailing Address
First Line	:	668 EUCLID AVE
Second Line	:	#618
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3006
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	668 EUCLID AVE
Second Line	:	#618
City	:	CLEVELAND
State	:	OH
Zip	:	44114-3006
Country	:	US
Telephone Number	:	216-307-3173
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BRITTNEY COLEMAN
Credential	:
Telephone Number	:	248-910-4721

Provider Enumeration Date	:	07/29/2014
Last Update Date	:	07/29/2014

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Directions to “BC HOME HEALTH AGENCY ” Practice Location

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