Provider Demographics
NPI:1932537198
Name:BBWK ENTERPRISES, LLC
Entity Type:Organization
Organization Name:BBWK ENTERPRISES, LLC
Other - Org Name:NEW LIFE HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-558-2230
Mailing Address - Street 1:PO BOX 2009
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-2009
Mailing Address - Country:US
Mailing Address - Phone:940-234-0034
Mailing Address - Fax:940-234-0033
Practice Address - Street 1:1730 HOUSTON ST
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:TX
Practice Address - Zip Code:76384-7715
Practice Address - Country:US
Practice Address - Phone:940-558-2230
Practice Address - Fax:940-558-2250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-28
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747963Medicare Oscar/Certification