MEDICARE: CBAH INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency
2	372600000X	Adult Companion
3	376J00000X	Homemaker
4	251E00000X	Home Health Agency	228665	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477507887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CBAH INC

Provider Business Mailing Address
First Line	:	10001 NW 50TH ST STE 203B
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-8061
Country	:	US
Telephone Number	:	954-914-0811
Fax Number	:

Provider Business Practice Location Address
First Line	:	10001 NW 50TH ST STE 203B
Second Line	:
City	:	SUNRISE
State	:	FL
Zip	:	33351-8061
Country	:	US
Telephone Number	:	954-914-0811
Fax Number	:	954-374-6989

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	ALTHEA ROBINSON
Credential	:
Telephone Number	:	954-914-0811

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	03/02/2021

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Directions to “CBAH INC ” Practice Location

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