Provider Demographics
NPI:1487606992
Name:BQC HOME HEALTH AGENCY, INC.
Entity type:Organization
Organization Name:BQC HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPOM
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, RN
Authorized Official - Phone:972-203-8500
Mailing Address - Street 1:PO BOX 1985
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-2085
Mailing Address - Country:US
Mailing Address - Phone:972-203-8500
Mailing Address - Fax:972-203-8508
Practice Address - Street 1:329 OAKS TRL STE 147
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-4037
Practice Address - Country:US
Practice Address - Phone:972-203-8500
Practice Address - Fax:972-203-8508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009682251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX679630Medicare PIN