Healthcare Provider Details

I. General information

NPI: 1396518973
Provider Name (Legal Business Name): BC HEALTHCARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2023
Last Update Date: 11/06/2023
Certification Date: 11/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5516 S PAULINA ST
CHICAGO IL
60636-1220
US

IV. Provider business mailing address

9631 S CICERO AVE
OAK LAWN IL
60453-3137
US

V. Phone/Fax

Practice location:
  • Phone: 855-322-4325
  • Fax:
Mailing address:
  • Phone: 855-322-4325
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSINA CATCHINGS
Title or Position: PARTNER
Credential: REGISTERED NURSE
Phone: 855-322-4235