B & B Residential Care Services, LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

B & B RESIDENTIAL CARE SERVICES, LLC

Doing business as

B & B Residential Care Services, LLC

Practice address

18514 SE Wilmot St
Milwaukie, OR 97267-6426

Phone

(503) 305-8884

Fax

(503) 387-3092

NPI assigned

Jun 13, 2024

Last updated

Jun 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Berhanu Ejigu Kededa, DNPNPI 1184994105

Title

Director

Phone

(678) 793-8808

Specialties & licenses 1

Addresses

Other names 1

• B & B Residential Care Services, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Berhanu Ejigu Kededa, NP-C

  • Family Nurse Practitioner
  • Tucker, GA
  • NPI 1184994105
  NPD Authorized official

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718236800000",
    "number": "1780427278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18514 SE WILMOT ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676426",
            "telephone_number": "503-305-8884",
            "fax_number": "503-387-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18514 SE WILMOT ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972676426",
            "telephone_number": "503-305-8884",
            "fax_number": "503-387-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B & B RESIDENTIAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A",
        "authorized_official_last_name": "KEDEDA",
        "authorized_official_first_name": "BERHANU",
        "authorized_official_middle_name": "EJIGU",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-793-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "B & B Residential Care Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lacy Jo Avera
• Michelle Averill
• Ashley Nicole Avila, LCSW
• Jonathan P Ayers, LCSW
• Artur Azizkhanian
• Amber Johnson Babar
• Daya Babariya
• Jessica Bach, LMT
• Thomas Edward Bachhuber Jr., DMD
• Cherry M Bachmeier, N.D.

• Registered Nurse in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.