Provider Demographics
NPI:1942406301
Name:3B ENTERPRISES LLC
Entity Type:Organization
Organization Name:3B ENTERPRISES LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:BEANBLOSSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-515-9515
Mailing Address - Street 1:4610 TAYLORSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-3568
Mailing Address - Country:US
Mailing Address - Phone:502-515-9515
Mailing Address - Fax:502-515-9517
Practice Address - Street 1:4610 TAYLORSVILLE RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-3568
Practice Address - Country:US
Practice Address - Phone:502-515-9515
Practice Address - Fax:502-515-9517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health