Provider Demographics
NPI:1548004278
Name:BITTACHON CARE SERVICES INC
Entity type:Organization
Organization Name:BITTACHON CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:HUDGINS
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:844-288-8813
Mailing Address - Street 1:3601 LONGHILL CT
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23323-1473
Mailing Address - Country:US
Mailing Address - Phone:844-288-8813
Mailing Address - Fax:844-288-8813
Practice Address - Street 1:3601 LONGHILL CT
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-1473
Practice Address - Country:US
Practice Address - Phone:844-288-8813
Practice Address - Fax:844-288-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-19
Last Update Date:2024-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services