Healthcare Provider Details
I. General information
NPI: 1023167772
Provider Name (Legal Business Name): BHC SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/10/2007
Last Update Date: 03/14/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6150 PARKLAND BLVD STE 255
MAYFIELD HEIGHTS OH
44124-4103
US
IV. Provider business mailing address
PO BOX 51266
LAFAYETTE LA
70505-1266
US
V. Phone/Fax
- Phone: 216-289-5300
- Fax: 216-289-5301
- Phone: 337-233-1307
- Fax: 337-443-4154
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | 910438 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 910438 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 910438 |
| License Number State | OH |
VIII. Authorized Official
Name:
JOSHUA
L
PROFFITT
Title or Position: PRESIDENT
Credential:
Phone: 337-233-1307