Provider Demographics
NPI:1629748884
Name:B & B HEALTHCARE LLC
Entity Type:Organization
Organization Name:B & B HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLLIE
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:BOOKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-606-9662
Mailing Address - Street 1:6545 WINYAH DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-2072
Mailing Address - Country:US
Mailing Address - Phone:803-606-9662
Mailing Address - Fax:
Practice Address - Street 1:6545 WINYAH DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-2072
Practice Address - Country:US
Practice Address - Phone:803-606-9662
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-17
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care