Healthcare Provider Details

I. General information

NPI: 1417310061
Provider Name (Legal Business Name): BMH CORP.,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2016
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13140 E MISSISSIPPI AVE
AURORA CO
80012-3427
US

IV. Provider business mailing address

1210 S PARKER RD 200
DENVER CO
80231-7555
US

V. Phone/Fax

Practice location:
  • Phone: 720-282-3578
  • Fax: 720-282-3579
Mailing address:
  • Phone: 720-282-3578
  • Fax: 303-963-5641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: YULIYA GOSTISHCHEVA
Title or Position: ADMINISTRATOR
Credential:
Phone: 720-282-3578