Provider Demographics
NPI:1013582477
Name:B-HOMECARE L.L.C.
Entity Type:Organization
Organization Name:B-HOMECARE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:TAVERAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-949-4663
Mailing Address - Street 1:615 PIIKOI ST STE 501
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-3140
Mailing Address - Country:US
Mailing Address - Phone:808-949-4663
Mailing Address - Fax:
Practice Address - Street 1:615 PIIKOI ST STE 501
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3140
Practice Address - Country:US
Practice Address - Phone:808-949-4663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B-HOMECARE L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care