MEDICARE: BJ HOME CARE INC

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	310400000X	Assisted Living Facility	AL 10778	FL

General Provider Information

NPI Number	:	1356559181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJ HOME CARE INC

Provider Business Mailing Address
First Line	:	2218 SW 26TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2330
Country	:	US
Telephone Number	:	786-399-6027
Fax Number	:	305-225-1289

Provider Business Practice Location Address
First Line	:	2218 SW 26TH LN
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2330
Country	:	US
Telephone Number	:	786-399-6027
Fax Number	:	305-225-1289

Authorized Official
Title or Position	:	OWNER
Name	:	RAMON BUENO
Credential	:
Telephone Number	:	786-399-6027

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	08/22/2020

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