BBLB Properties LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BBLB PROPERTIES LLC

Doing business as

Preferred Care At Home south east valley Phoenix, AZ.

Practice address

18521 E Queen Creek Rd Ste 105-432
Queen Creek, AZ 85142-5845

Phone

(480) 656-9883

Fax

(480) 888-7025

NPI assigned

Jan 7, 2011

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charlie Russell Elliott

Title

Owner/Administrator

Phone

(480) 656-9883

Specialties & licenses 1

Addresses

Other names 1

• Preferred Care At Home south east valley Phoenix, AZ. Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1294358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1023312824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-432",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425845",
            "telephone_number": "480-656-9883",
            "fax_number": "480-888-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18521 E QUEEN CREEK RD STE 105-432",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851425845",
            "telephone_number": "480-656-9883",
            "fax_number": "480-888-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BBLB PROPERTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-07",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "480-656-9883",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preferred Care At Home south east valley Phoenix, AZ.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• In Home Supportive Care Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.