Organization Active NPI

B&B Healthcare LLC

  • Home Health Aide
  • Dunlap, IL
National Provider Identifier
1346900248
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
B&B HEALTHCARE LLC
Practice address
11017 N Stillwater Dr
Dunlap, IL 61525-9115
Phone
(517) 512-2994
Fax
(331) 213-2474
NPI assigned
Dec 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Basil Erebholo
Title
Manager
Phone
(517) 512-2994

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

11017 N Stillwater Dr
Dunlap, IL 61525-9115

Mailing address

11017 N Stillwater Dr
Dunlap, IL 61525-9115
Phone (517) 512-2994

Other names 1

  • B&B Healthcare LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1346900248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11017 N STILLWATER DR",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259115",
            "telephone_number": "517-512-2994",
            "fax_number": "331-213-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11017 N STILLWATER DR",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259115",
            "telephone_number": "517-512-2994",
            "fax_number": "331-213-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B&B HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "EREBHOLO",
        "authorized_official_first_name": "BASIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-512-2994"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B&B Healthcare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dunlap, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.