TBH Enterprises, LLC

Primary specialty

Wound Care Registered NurseTaxonomy code 163WW0000X

Legal business name

TBH ENTERPRISES, LLC

Practice address

HC 1 8165 Box
Fairdealing, MO 63939

Phone

(573) 857-2273

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Brenda Holmes

Title

Office Manager

Phone

(573) 857-2273

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1194229252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 8165",
            "city": "FAIRDEALING",
            "state": "MO",
            "postal_code": "63939",
            "telephone_number": "573-857-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 1 8165 BOX",
            "city": "FAIRDEALING",
            "state": "MO",
            "postal_code": "63939",
            "telephone_number": "573-857-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TBH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "573-857-2273"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Wound Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cypress Creek, LLC
• Cypress Creek, LLC
• Jennifer Darlene Grace
• Holmes Enterprises, LLC
• Holmes Enterprises, LLC

• All providers in Fairdealing, MO
• Wound Care Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.