Organization Active NPI

BMB Healthcare LLC

  • Home Health Agency
  • Woodbury, NJ
National Provider Identifier
1205656113
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BMB HEALTHCARE LLC
Practice address
603 N Broad St Ste 201
Woodbury, NJ 08096-1619
Phone
(484) 832-5644
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Stephan McDonald
Title
President/Owner
Phone
(484) 832-5644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

603 N Broad St Ste 201
Woodbury, NJ 08096-1619

Mailing address

603 N Broad St Ste 201
Woodbury, NJ 08096-1619

Other names 1

  • BrightStar Care of Gloucester County Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2315443BMB Healthcare LLC603 N Broad St, Woodbury, NJ 08096Certificate of waiverDec 11, 2026

National Provider Directory

National Provider Directory

Locations

603 N Broad St
Ste 201
Woodbury, NJ 08096
Phone (484) 832-5644

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1205656113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N BROAD ST STE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N BROAD ST STE 201",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080961619",
            "telephone_number": "484-832-5644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BMB HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "484-832-5644"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrightStar Care of Gloucester County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.