1689805293 NPI number — 2B2E, INC.

Table of content: (NPI 1689805293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689805293 NPI number — 2B2E, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
2B2E, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ALL AT HOME HEALTHCARE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689805293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4130 SALISBURY RD # 2420
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JACKSONVILLE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32216-8031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
904-551-6942
Provider Business Mailing Address Fax Number:
886-324-9458

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4130 SALISBURY RD # 2420
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JACKSONVILLE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32216-8031
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
904-551-6942
Provider Business Practice Location Address Fax Number:
888-623-4945
Provider Enumeration Date:
07/30/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PURVIS
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
B
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
904-551-6942

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 102736700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".