Healthcare Provider Details

I. General information

NPI: 1457220741
Provider Name (Legal Business Name): CARE B&B INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 MADRONE ST
WILLITS CA
95490-4249
US

IV. Provider business mailing address

PO BOX 1738
MENDOCINO CA
95460-1738
US

V. Phone/Fax

Practice location:
  • Phone: 707-964-1849
  • Fax:
Mailing address:
  • Phone: 707-964-1849
  • Fax: 707-937-6267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JESSICA GRINBERG
Title or Position: EXECUTIVE DIRECTOR
Credential: CPO
Phone: 707-964-1849