Provider Demographics
NPI:1710201751
Name:BV PARENTS GROUP, INC.
Entity Type:Organization
Organization Name:BV PARENTS GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KIMI
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-753-2060
Mailing Address - Street 1:PO BOX 5186
Mailing Address - Street 2:
Mailing Address - City:BEAR VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95223-5186
Mailing Address - Country:US
Mailing Address - Phone:209-753-2060
Mailing Address - Fax:209-753-2345
Practice Address - Street 1:325 CREEKSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:BEAR VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95223-5186
Practice Address - Country:US
Practice Address - Phone:209-753-2348
Practice Address - Fax:209-753-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable