Provider Demographics
NPI:1184352973
Name:B & B HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:B & B HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARRETH
Authorized Official - Middle Name:
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-471-3178
Mailing Address - Street 1:14116 CUSTOMS BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-5165
Mailing Address - Country:US
Mailing Address - Phone:228-471-3178
Mailing Address - Fax:
Practice Address - Street 1:14116 CUSTOMS BLVD STE 103
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-5165
Practice Address - Country:US
Practice Address - Phone:228-471-3178
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health