Provider Demographics
NPI:1346531415
Name:BGC HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:BGC HEALTH CARE SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:GENE
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED NHA
Authorized Official - Phone:417-321-0033
Mailing Address - Street 1:PO BOX E
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:MO
Mailing Address - Zip Code:64772-0934
Mailing Address - Country:US
Mailing Address - Phone:417-321-0033
Mailing Address - Fax:
Practice Address - Street 1:1495 E ASHLAND ST
Practice Address - Street 2:
Practice Address - City:NEVADA
Practice Address - State:MO
Practice Address - Zip Code:64772-4016
Practice Address - Country:US
Practice Address - Phone:417-667-5000
Practice Address - Fax:417-667-5059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO038772310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility