BCC Re Holdings

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BCC RE HOLDINGS

Practice address

2124 N 25TH St
Waco, TX 76708-3317

Phone

(254) 235-7604

Fax

(254) 235-7612

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Steven Wayne Carter

Title

Pres.

Phone

(254) 235-7604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1245463181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 N 25TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083317",
            "telephone_number": "254-235-7604",
            "fax_number": "254-235-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 N 25TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083317",
            "telephone_number": "254-235-7604",
            "fax_number": "254-235-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BCC RE HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "254-235-7604",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kynli Nicole Bearden, BT

• All providers in Waco, TX
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; 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.