Re-Brand Me LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

RE-BRAND ME LLC

Practice address

16809 Bellflower Blvd
Suite 453
Bellflower, CA 90706

Phone

(706) 305-4318

NPI assigned

Apr 14, 2023

Organization subpart

No

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

Authorized official

Name

Antonio Broaster

Title

Agent

Phone

(706) 305-4318

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682380800000",
    "number": "1669168340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16809 BELLFLOWER BLVD",
            "address_2": "SUITE 453",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16809 BELLFLOWER BLVD",
            "address_2": "SUITE 453",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "90706",
            "telephone_number": "706-305-4318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RE-BRAND ME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-14",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A",
        "authorized_official_last_name": "BROASTER",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "706-305-4318"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Bellflower, CA
• Providers in Bellflower, CA by specialty
• Private Vehicle in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.