MEDICARE: BEEJAY HOMECARE LLC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598528523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEEJAY HOMECARE LLC

Provider Business Mailing Address
First Line	:	3221 OAK RD APT WEST
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1849
Country	:	US
Telephone Number	:	216-288-2259
Fax Number	:

Provider Business Practice Location Address
First Line	:	3221 OAK RD APT WEST
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-1849
Country	:	US
Telephone Number	:	216-288-2259
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BOLAJI ORIMOLOYE
Credential	:
Telephone Number	:	216-288-2259

Provider Enumeration Date	:	02/01/2024
Last Update Date	:	12/16/2024

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