Healthcare Provider Details

I. General information

NPI: 1508203910
Provider Name (Legal Business Name): BKD PERSONAL ASSISTANCE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2013
Last Update Date: 05/24/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 COLONEL DR
GARLAND TX
75043-1303
US

IV. Provider business mailing address

111 WESTWOOD PL #400
BRENTWOOD TN
37027-5021
US

V. Phone/Fax

Practice location:
  • Phone: 972-278-8500
  • Fax:
Mailing address:
  • Phone: 615-221-2250
  • 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: MARK OHLENDORF
Title or Position: CO-PRESIDENT
Credential:
Phone: 414-918-5000