MEDICARE: BJRS 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1932518537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BJRS INC

Provider Business Mailing Address
First Line	:	2715 SPRING GATE LN SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-4938
Country	:	US
Telephone Number	:	256-883-3080
Fax Number	:

Provider Business Practice Location Address
First Line	:	2715 SPRING GATE LN SE
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35802-4938
Country	:	US
Telephone Number	:	256-883-3080
Fax Number	:

Authorized Official
Title or Position	:	FRANCHISE OWNER
Name	:	MR. BOB BRASHER
Credential	:
Telephone Number	:	256-883-3080

Provider Enumeration Date	:	08/07/2014
Last Update Date	:	08/07/2014

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