Provider Demographics
NPI:1053866236
Name:C&B BLUEPRINT HOME HEALTH CARE ,LLC
Entity Type:Organization
Organization Name:C&B BLUEPRINT HOME HEALTH CARE ,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIANAH
Authorized Official - Middle Name:MOJI
Authorized Official - Last Name:OBEISUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-714-3347
Mailing Address - Street 1:1403 BAKER DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-1345
Mailing Address - Country:US
Mailing Address - Phone:214-714-3347
Mailing Address - Fax:972-637-4540
Practice Address - Street 1:1403 BAKER DR
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-1345
Practice Address - Country:US
Practice Address - Phone:214-714-3347
Practice Address - Fax:972-637-4540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health