Healthcare Provider Details

I. General information

NPI: 1568953784
Provider Name (Legal Business Name): BNC HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2018
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 MONARCH TRL
SUGAR LAND TX
77498-2522
US

IV. Provider business mailing address

126 MONARCH TRL
SUGAR LAND TX
77498-2522
US

V. Phone/Fax

Practice location:
  • Phone: 346-368-2899
  • Fax: 320-323-0543
Mailing address:
  • Phone: 346-368-2899
  • Fax: 320-323-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: OLUKAYODE KOMOLAFE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 312-217-1894