Provider Demographics
NPI:1710616149
Name:B&B HEALTH PINELLAS, LLC
Entity Type:Organization
Organization Name:B&B HEALTH PINELLAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRUBAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-383-0487
Mailing Address - Street 1:13945 EVERGREEN AVE # 327
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-4526
Mailing Address - Country:US
Mailing Address - Phone:727-383-0487
Mailing Address - Fax:
Practice Address - Street 1:13945 EVERGREEN AVE # 327
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33762-4526
Practice Address - Country:US
Practice Address - Phone:727-383-0487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:B&B HEALTH PINELLAS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health