PB&K, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PB&K, LLC

Practice address

8101 Boat Club Rd Ste 318
Fort Worth, TX 76179-3633

Phone

(682) 708-3455

NPI assigned

Dec 23, 2020

Organization subpart

No

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

Authorized official

Name

Parker Rew

Title

Owner

Phone

(682) 708-3455

Specialties & licenses 1

Addresses

Other names 1

• Home Instead Senior Care 826 Doing business as

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1386231306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD STE 318",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793633",
            "telephone_number": "682-708-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 BOAT CLUB RD STE 318",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761793633",
            "telephone_number": "682-708-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB&K, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "REW",
        "authorized_official_first_name": "PARKER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-708-3455"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care 826",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Justine Payne, PHARM.D.
• Tyjvanna Payne, LPC
• Jasmine Payro, CST
• Hannah Kaye Payton, PA-C
• PB Monitoring LLC
• Pci Adult Daycare, LLC
• PCPT, PLLC
• Peacemakers
• David Owen Peach, AU.D.
• Audrey Nicole Peacock, DDS

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.