Provider Demographics
NPI:1104556026
Name:BIJOU HOME CARE LLC
Entity type:Organization
Organization Name:BIJOU HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIJOU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-224-6427
Mailing Address - Street 1:2620 N AUSTRALIAN AVE STE 109
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-5625
Mailing Address - Country:US
Mailing Address - Phone:904-923-6024
Mailing Address - Fax:
Practice Address - Street 1:2620 N AUSTRALIAN AVE STE 109
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-5625
Practice Address - Country:US
Practice Address - Phone:904-923-6024
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health