Healthcare Provider Details

I. General information

NPI: 1679283600
Provider Name (Legal Business Name): BHC2 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 11/30/2022
Certification Date: 11/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2728 ASBURY RD STE 775
DUBUQUE IA
52001-2984
US

IV. Provider business mailing address

2450 SE STONE PRAIRIE DR
WAUKEE IA
50263-3502
US

V. Phone/Fax

Practice location:
  • Phone: 515-978-7991
  • Fax:
Mailing address:
  • Phone: 515-978-7991
  • Fax: 515-978-7992

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT BAUMGART
Title or Position: PRESIDENT
Credential:
Phone: 402-880-6722