1568089894 NPI number — BLUECARE HOMEHEALTH SERVICES LLC

Table of content: MS. MARGARET ANN KEEHN RN (NPI 1699918334)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568089894 NPI number — BLUECARE HOMEHEALTH SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BLUECARE HOMEHEALTH SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568089894
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/02/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15298 SEA EAGLE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRISCO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75035-2259
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
214-548-5538
Provider Business Mailing Address Fax Number:
214-548-5538

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15298 SEA EAGLE LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRISCO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75035-2259
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-548-5538
Provider Business Practice Location Address Fax Number:
214-548-5538
Provider Enumeration Date:
07/02/2020

Additional Information

Authorized Official

Authorized Official Last Name:
TITANJI
Authorized Official First Name:
SAMKEAH
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
214-548-5538

Provider Taxonomy Codes

  • Taxonomy code: 208000000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com