Provider Demographics
NPI:1932815503
Name:BMB HEALTHCARE PARTNERS LLC
Entity Type:Organization
Organization Name:BMB HEALTHCARE PARTNERS LLC
Other - Org Name:STATE OF D' HEART HEALTHCARE PROFESSIONALS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN XYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LIMBO
Authorized Official - Suffix:
Authorized Official - Credentials:BSN, RN
Authorized Official - Phone:626-267-0245
Mailing Address - Street 1:520 W WILSON AVE APT 104
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-2426
Mailing Address - Country:US
Mailing Address - Phone:818-915-6466
Mailing Address - Fax:
Practice Address - Street 1:3305 SPRING MOUNTAIN RD STE 65
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-8626
Practice Address - Country:US
Practice Address - Phone:626-267-0245
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health