Provider Demographics
NPI:1003776592
Name:BHM CARROLLTON OPCO INC
Entity type:Organization
Organization Name:BHM CARROLLTON OPCO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FREIFELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-834-4404
Mailing Address - Street 1:2327 N HIGHWAY 27
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-6701
Mailing Address - Country:US
Mailing Address - Phone:770-834-4404
Mailing Address - Fax:
Practice Address - Street 1:2327 N HIGHWAY 27
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-6701
Practice Address - Country:US
Practice Address - Phone:770-834-4404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility