Provider Demographics
NPI:1952120610
Name:BSBYMF. LLC
Entity type:Organization
Organization Name:BSBYMF. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPEATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MALCOLM
Authorized Official - Last Name:MEAD
Authorized Official - Suffix:
Authorized Official - Credentials:HEALTH COORDINATOR
Authorized Official - Phone:276-285-8906
Mailing Address - Street 1:908 CHADWICK DR APT 6
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-5661
Mailing Address - Country:US
Mailing Address - Phone:276-285-8906
Mailing Address - Fax:
Practice Address - Street 1:908 CHADWICK DR APT 6
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-5661
Practice Address - Country:US
Practice Address - Phone:276-285-8906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BSBYMF. LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-10-09
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty