Healthcare Provider Details

I. General information

NPI: 1821943069
Provider Name (Legal Business Name): BARDISON ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10042 WOLF RD. STE C
GRASS VALLEY CA
95949
US

IV. Provider business mailing address

10042 WOLF RD. STE C
GRASS VALLEY CA
95949
US

V. Phone/Fax

Practice location:
  • Phone: 530-268-8983
  • Fax: 530-652-5021
Mailing address:
  • Phone: 530-268-8983
  • Fax: 530-652-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MELISSA JAMISON
Title or Position: OWNER, DIRECTOR OF OPERATIONS
Credential:
Phone: 530-268-8983