Healthcare Provider Details

I. General information

NPI: 1811370521
Provider Name (Legal Business Name): BCS SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2015
Last Update Date: 06/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1473 BROWN ST
AKRON OH
44301-2302
US

IV. Provider business mailing address

1473 BROWN ST
AKRON OH
44301-2302
US

V. Phone/Fax

Practice location:
  • Phone: 330-814-8568
  • Fax: 330-208-0455
Mailing address:
  • Phone: 330-814-8568
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. CORTEZ L JONES SR.
Title or Position: CEO
Credential:
Phone: 330-814-8569