MEDICARE: BHAC 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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1649930256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BHAC LLC

Provider Business Mailing Address
First Line	:	9111 E DOUGLAS AVE STE 145
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67207-2202
Country	:	US
Telephone Number	:	316-670-9988
Fax Number	:	316-364-4999

Provider Business Practice Location Address
First Line	:	1316 N CHARLOTTE ST
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67208-2659
Country	:	US
Telephone Number	:	316-440-4406
Fax Number	:	316-440-4407

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	ROXANNE FINLEY
Credential	:
Telephone Number	:	316-771-7316

Provider Enumeration Date	:	12/22/2021
Last Update Date	:	02/28/2026

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Directions to “BHAC LLC ” Practice Location

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