1235802489 NPI number — BB'S ALLCARE LLC

Table of content: (NPI 1235802489)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1235802489 NPI number — BB'S ALLCARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BB'S ALLCARE LLC
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:
Provider Other Organization Name Type Code:
6
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:
1235802489
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/21/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12820 FOREST CREEK CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SYKESVILLE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21784-5526
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
443-536-5712
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6220 GEORGETOWN BLVD STE C
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ELDERSBURG
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21784-6417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
443-536-5712
Provider Business Practice Location Address Fax Number:
833-906-2570
Provider Enumeration Date:
07/25/2021

Additional Information

Authorized Official

Authorized Official Last Name:
BARTOS
Authorized Official First Name:
BRANDIE
Authorized Official Middle Name:
DARLENE
Authorized Official Title or Position:
PROVIDER/OWNER
Authorized Official Telephone Number:
443-536-5712

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1780256297 . This is a "FNP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 1154046738 . This is a "ANP" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com