MEDICARE: BH HEALTHCARE

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	HC4407	NC

General Provider Information

NPI Number	:	1477841559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BH HEALTHCARE

Provider Business Mailing Address
First Line	:	7710 SAM HALL RD
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-7712
Country	:	US
Telephone Number	:	919-690-8530
Fax Number	:

Provider Business Practice Location Address
First Line	:	7710 SAM HALL RD
Second Line	:
City	:	OXFORD
State	:	NC
Zip	:	27565-7712
Country	:	US
Telephone Number	:	919-690-8530
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OPERATOR
Name	:	CHARLOTTE R HARRIS
Credential	:	R.N.
Telephone Number	:	919-690-8530

Provider Enumeration Date	:	07/11/2011
Last Update Date	:	08/17/2011

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