Healthcare Provider Details

I. General information

NPI: 1659568095
Provider Name (Legal Business Name): B.C.P., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2007
Last Update Date: 12/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

308 KAMEHAMEHA AVE #200
HILO HI
96720-2960
US

IV. Provider business mailing address

524 E LAMAR BLVD SUITE 300
ARLINGTON TX
76011-3903
US

V. Phone/Fax

Practice location:
  • Phone: 808-969-9622
  • Fax: 808-969-9894
Mailing address:
  • Phone: 817-462-9063
  • Fax: 817-462-9143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER B FRIEDRICHS
Title or Position: SECRETARY & VP FINANCE
Credential: CPA
Phone: 817-462-9014