Provider Demographics
NPI:1447909056
Name:BABYLON GATE HOME CARE LLC
Entity type:Organization
Organization Name:BABYLON GATE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SALIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGHDADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-233-2547
Mailing Address - Street 1:68 BISHOP STREET
Mailing Address - Street 2:UNIT 3 RM 7
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103
Mailing Address - Country:US
Mailing Address - Phone:207-233-2547
Mailing Address - Fax:
Practice Address - Street 1:68 BISHOP STREET
Practice Address - Street 2:UNIT 3 RM 7
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103
Practice Address - Country:US
Practice Address - Phone:207-233-2547
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care