Provider Demographics
NPI:1346900248
Name:B&B HEALTHCARE LLC
Entity Type:Organization
Organization Name:B&B HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BASIL
Authorized Official - Middle Name:
Authorized Official - Last Name:EREBHOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-512-2994
Mailing Address - Street 1:11017 N STILLWATER DR
Mailing Address - Street 2:
Mailing Address - City:DUNLAP
Mailing Address - State:IL
Mailing Address - Zip Code:61525-9115
Mailing Address - Country:US
Mailing Address - Phone:517-512-2994
Mailing Address - Fax:331-213-2474
Practice Address - Street 1:11017 N STILLWATER DR
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:IL
Practice Address - Zip Code:61525-9115
Practice Address - Country:US
Practice Address - Phone:517-512-2994
Practice Address - Fax:331-213-2474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health