Bac Health Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BAC HEALTH SERVICES LLC

Practice address

14300 Cherry Lane CT Ste 108
Laurel, MD 20707-4978

Phone

(240) 713-8080

Fax

(240) 993-5700

NPI assigned

May 24, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Josephine TafieNPI 1871937482

Title

Provider

Phone

(240) 565-9022

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Josephine Tafie, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Laurel, MD
  • NPI 1871937482

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1356033609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074978",
            "telephone_number": "240-713-8080",
            "fax_number": "240-993-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 CHERRY LANE CT STE 108",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074978",
            "telephone_number": "240-713-8080",
            "fax_number": "240-993-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAC HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "TAFIE",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "240-565-9022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shahid Aziz, M.D.
• Sam Azoulay, DDS
• Fatoumata Ba
• Michael N Baako, MD
• Matilder Mbongho Babila
• Liliane Badawu
• Sade Bademosi
• Jun Tae Bae, D.D.S.
• Hannah Maiye Bafor
• Bagiwa Healthcare Services LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Laurel, MD
• Providers in Laurel, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.