Provider Demographics
NPI:1255068516
Name:BELLSHAN HOMECARE LLC
Entity type:Organization
Organization Name:BELLSHAN HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SSEMALULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-661-0609
Mailing Address - Street 1:18736 HARMONY WOODS LN
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-2509
Mailing Address - Country:US
Mailing Address - Phone:301-661-0609
Mailing Address - Fax:
Practice Address - Street 1:18736 HARMONY WOODS LN
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-2509
Practice Address - Country:US
Practice Address - Phone:301-661-0609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)