Provider Demographics
NPI:1780038125
Name:BBH CBMC, LLC
Entity Type:Organization
Organization Name:BBH CBMC, LLC
Other - Org Name:CITIZENS BAPTIST HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ZACH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABERCROMBIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-761-4590
Mailing Address - Street 1:1445 ROSS AVE
Mailing Address - Street 2:SUITE 1400T
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75202-2711
Mailing Address - Country:US
Mailing Address - Phone:205-715-5427
Mailing Address - Fax:205-715-5878
Practice Address - Street 1:403 MEDICAL PARK OFC PARK
Practice Address - Street 2:ATTENTION HOSPICE
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2259
Practice Address - Country:US
Practice Address - Phone:256-761-4490
Practice Address - Fax:256-761-4543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL201061Medicaid
01-1683Medicare PIN