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NPI Code Detail

MEDICARE: BKD PERSONAL ASSISTANCE SERVICES LLC

MEDICARE: BKD PERSONAL ASSISTANCE SERVICES 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1669330155
Entity Type Code : Organization
Provider Name (Legal Business Name) : BKD PERSONAL ASSISTANCE SERVICES LLC
Provider Business Mailing Address
First Line : 5800 OLD PROVIDENCE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-6872
Country : US
Telephone Number : 704-887-0172
Fax Number :
Provider Business Practice Location Address
First Line : 5800 OLD PROVIDENCE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-6872
Country : US
Telephone Number : 704-887-0172
Fax Number :
Authorized Official
Title or Position : ASSISTANT SECRETARY
Name : ANNA MUNOZ
Credential :
Telephone Number : 414-918-5443
Provider Enumeration Date : 01/13/2026
Last Update Date : 01/13/2026

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