Healthcare Provider Details

I. General information

NPI: 1841327343
Provider Name (Legal Business Name): B.C.P., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 02/24/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 MAIN STREET SUITE 650
WAILUKU HI
96793-1644
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 808-244-4700
  • Fax: 808-244-7575
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: DENISE L JACKSON
Title or Position: SENIOR VICE PRESIDENT
Credential:
Phone: 858-892-0711