Healthcare Provider Details

I. General information

NPI: 1447851050
Provider Name (Legal Business Name): BFS MEDICAL AND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2020
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 COMMERCE ST STE C
GREENVILLE NC
27858-5030
US

IV. Provider business mailing address

PO BOX 31141
GREENVILLE NC
27833-1141
US

V. Phone/Fax

Practice location:
  • Phone: 252-702-0645
  • Fax:
Mailing address:
  • Phone: 252-702-0645
  • Fax:

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: TOMEKIA BLACKMON
Title or Position: MANAGER
Credential:
Phone: 252-702-0645