Healthcare Provider Details

I. General information

NPI: 1508681966
Provider Name (Legal Business Name): BNMS HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29286 STILLWATER
FARMINGTON HILLS MI
48334-4004
US

IV. Provider business mailing address

29286 STILLWATER
FARMINGTON HILLS MI
48334-4004
US

V. Phone/Fax

Practice location:
  • Phone: 248-794-8122
  • Fax:
Mailing address:
  • Phone: 248-794-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW SALEM
Title or Position: OWNER
Credential:
Phone: 248-794-8122