Healthcare Provider Details

I. General information

NPI: 1558631606
Provider Name (Legal Business Name): BAYEAB HEALTH CARE SERVICES,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2012
Last Update Date: 01/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

728 HAMILTON ST NW
WASHINGTON DC
20011-4032
US

IV. Provider business mailing address

728 HAMILTON ST NW
WASHINGTON DC
20011-1416
US

V. Phone/Fax

Practice location:
  • Phone: 202-427-1211
  • Fax:
Mailing address:
  • Phone: 202-427-1211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3140N1450X
TaxonomyPediatric Skilled Nursing Facility
License Number
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateDC

VIII. Authorized Official

Name: MS. OLUFUNMILOLA A ENIOLA
Title or Position: OWNER
Credential: REGISTER NURSE
Phone: 202-427-1211