Provider Demographics
NPI:1245859586
Name:HB SUPPORT SERVICES GROUP
Entity type:Organization
Organization Name:HB SUPPORT SERVICES GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HERCHELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-901-4626
Mailing Address - Street 1:1830 N UNIVERSITY DR # 138
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4114
Mailing Address - Country:US
Mailing Address - Phone:954-901-4626
Mailing Address - Fax:
Practice Address - Street 1:7901 S ARAGON BLVD
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33322-3140
Practice Address - Country:US
Practice Address - Phone:954-901-4626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-15
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies