BFB Assisted Living Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-5769 Issued in AZ

Legal business name

BFB ASSISTED LIVING HOMES, LLC

Doing business as

Mingus Terrace Assisted Living Home

Practice address

1236 S Pioneer Dr
Cottonwood, AZ 86326-4772

Phone

(928) 649-0275

Fax

(928) 649-0276

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Lori Marie Fruchey

Title

Member

Phone

(928) 634-7198

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mingus Terrace Assisted Living Home Doing business as

Tax ID family

BFB Assisted Living Homes LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BFB Assisted Living Homes, LLC

  dba Mingus Manor Assisted Living Home

  • Assisted Living Facility
  • Cottonwood, AZ
  • NPI 1881847671
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Linda Roemer, PHD NP-C

  • Adult Health Nurse Practitioner
  • Cottonwood, AZ
  • NPI 1326200130
  NPD (past)

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174619092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 S 10TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264428",
            "telephone_number": "928-634-7198",
            "fax_number": "928-634-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 S PIONEER DR",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264772",
            "telephone_number": "928-649-0275",
            "fax_number": "928-649-0276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BFB ASSISTED LIVING HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRUCHEY",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "928-634-7198",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114608",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mingus Terrace Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bella Vita Healthcare
• Christopher Benda, PTA
• Linda Elaine Bennardo, LPC
• Joseph Thomas Bergerson, M.D.
• Kenneth John Bescak, MD
• BFB Assisted Living Homes, LLC (Mingus Manor Assisted Living Home)
• Daphne Bichotte, MEDICAL DOCTOR
• Black Hills Urology Group, P.C.
• Jeffrey Colin Blair, DMD
• Hu Al Blake II, M.D.

• Assisted Living Facility in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.