MEDICARE: BPC HOLDINGS CORP

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

General Provider Information

NPI Number	:	1669244869
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BPC HOLDINGS CORP

Provider Business Mailing Address
First Line	:	4600 SHERWOOD COMMON BLVD STE 304
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4890
Country	:	US
Telephone Number	:	225-256-7804
Fax Number	:	225-529-3804

Provider Business Practice Location Address
First Line	:	4600 SHERWOOD COMMON BLVD STE 304
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-4890
Country	:	US
Telephone Number	:	225-256-7804
Fax Number	:	225-529-3804

Authorized Official
Title or Position	:	PRESIDENT
Name	:	BRANDON GARETT RATCLIFF
Credential	:
Telephone Number	:	225-603-7174

Provider Enumeration Date	:	10/23/2023
Last Update Date	:	10/23/2023

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