Provider Demographics
NPI:1043039456
Name:BEE BLESSED ANGELS CARE LLC
Entity type:Organization
Organization Name:BEE BLESSED ANGELS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRE'YON
Authorized Official - Middle Name:AMIR
Authorized Official - Last Name:ELLERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-518-8164
Mailing Address - Street 1:3647 FYFFE AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45211-6114
Mailing Address - Country:US
Mailing Address - Phone:305-518-8164
Mailing Address - Fax:
Practice Address - Street 1:3647 FYFFE AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6114
Practice Address - Country:US
Practice Address - Phone:305-518-8164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-03
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care