MEDICARE: BIJI'S CARE HOMES, 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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility		TX

General Provider Information

NPI Number	:	1972802700
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIJI'S CARE HOMES, INC.

Provider Business Mailing Address
First Line	:	12051 MIRAMAR SHORES DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3941
Country	:	US
Telephone Number	:	832-573-8014
Fax Number	:

Provider Business Practice Location Address
First Line	:	12051 MIRAMAR SHORES DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3941
Country	:	US
Telephone Number	:	832-573-8014
Fax Number	:

Authorized Official
Title or Position	:	C.E.O
Name	:	SATINDER KAUR
Credential	:
Telephone Number	:	832-573-8014

Provider Enumeration Date	:	03/18/2011
Last Update Date	:	03/18/2011

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