Healthcare Provider Details

I. General information

NPI: 1871163972
Provider Name (Legal Business Name): BAJ HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 06/30/2021
Certification Date: 06/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8360 BLISS ST
DETROIT MI
48234-3334
US

IV. Provider business mailing address

8360 BLISS ST
DETROIT MI
48234-3334
US

V. Phone/Fax

Practice location:
  • Phone: 313-455-8832
  • Fax:
Mailing address:
  • Phone: 313-455-8832
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMARR HILL
Title or Position: PRESIDENT
Credential:
Phone: 313-757-2491