Provider Demographics
NPI:1407436785
Name:COURT CONCEPTS LLC
Entity Type:Organization
Organization Name:COURT CONCEPTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOHMAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:864-871-0080
Mailing Address - Street 1:114 WILLIAMS ST STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3182
Mailing Address - Country:US
Mailing Address - Phone:864-757-9862
Mailing Address - Fax:864-757-9643
Practice Address - Street 1:114 WILLIAMS ST STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3182
Practice Address - Country:US
Practice Address - Phone:864-757-9862
Practice Address - Fax:864-757-9643
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COURT CONCEPTS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-12
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care