Provider Demographics
NPI:1922385137
Name:B1 NURSING CARE
Entity Type:Organization
Organization Name:B1 NURSING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAKEBA
Authorized Official - Middle Name:C
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-307-5888
Mailing Address - Street 1:208 BOXWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:MS
Mailing Address - Zip Code:39047-8006
Mailing Address - Country:US
Mailing Address - Phone:601-307-5888
Mailing Address - Fax:
Practice Address - Street 1:208 BOXWOOD CIR
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39047-8006
Practice Address - Country:US
Practice Address - Phone:601-307-5888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-16
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSP324428251J00000X
385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care