Provider Demographics
NPI:1679861264
Name:THE BIMBE GROUP
Entity Type:Organization
Organization Name:THE BIMBE GROUP
Other - Org Name:BRIGHTSTAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GATTARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-279-3610
Mailing Address - Street 1:23550 HARPER AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48080-1447
Mailing Address - Country:US
Mailing Address - Phone:586-279-3610
Mailing Address - Fax:
Practice Address - Street 1:23550 HARPER AVE STE 110
Practice Address - Street 2:
Practice Address - City:SAINT CLAIR SHORES
Practice Address - State:MI
Practice Address - Zip Code:48080-1447
Practice Address - Country:US
Practice Address - Phone:586-279-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-15
Last Update Date:2011-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health