B & K Health Supreme LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

B & K HEALTH SUPREME LLC

Practice address

11077 Biscayne Blvd Ste 205
Miami, FL 33161-7419

Phone

(786) 955-5171

NPI assigned

May 24, 2021

Organization subpart

No

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

Authorized official

Name

Brandelis Guerrero

Title

Owner

Phone

(786) 955-5171

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621814400000",
    "number": "1386219210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11077 BISCAYNE BLVD STE 205",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331617419",
            "telephone_number": "786-955-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & K HEALTH SUPREME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A",
        "authorized_official_last_name": "GUERRERO",
        "authorized_official_first_name": "BRANDELIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-955-5171"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.