Bah Ca, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BAH CA, LLC

Doing business as

Brookdale at Home Mirage Inn

Practice address

72750 Country Club Dr
Rancho Mirage, CA 92270-4083

Phone

(442) 241-8058

NPI assigned

Oct 17, 2022

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

BROOKDALE SENIOR LIVING INCAs reported in NPPES

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

Authorized official

Name

Joanne Leskowicz

Title

Senior Vice President

Phone

(414) 918-5000

Specialties & licenses 1

Addresses

Other names 1

• Brookdale at Home Mirage Inn Doing business as

Tax ID family

Bah Ca LLC3 organizations share this tax ID, including this one

Part of

Brookdale Senior Living Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Bah Ca, LLC

  dba Brookdale at Home Santa Rosa

  • In Home Supportive Care Agency
  • Santa Rosa, CA
  • NPI 1720705643
  NPD tax ID
• Bah Ca, LLC

  dba Brookdale at Home Hemet

  • In Home Supportive Care Agency
  • Hemet, CA
  • NPI 1790402618
  NPD tax ID

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1841916228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72750 COUNTRY CLUB DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72750 COUNTRY CLUB DR",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704083",
            "telephone_number": "442-241-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAH CA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BROOKDALE SENIOR LIVING INC",
        "enumeration_date": "2022-10-17",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "LESKOWICZ",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "414-918-5000"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookdale at Home Mirage Inn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sara Solmaz Azar, M.D.
• Saeedeh Babaesfahani
• Lukmanafis Babajide, MD
• Bagherpour Inc
• Reza Bagherpour, M.D.
• Alborz Bahador
• Ehete Gebeyehu Bahiru, MD
• Cynthia Renee Bailey, LCSW
• John Eric Baker-Aidukas, SLP
• Robert Baker, P.A.

• In Home Supportive Care Agency in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• In Home Supportive Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.