Healthcare Provider Details

I. General information

NPI: 1356030654
Provider Name (Legal Business Name): T & B BUSINESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 05/08/2023
Certification Date: 05/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

447 BROAD STREET 4-12
MERIDEN CT
06450
US

IV. Provider business mailing address

447 BROAD STREET 4-12
MERIDEN CT
06450
US

V. Phone/Fax

Practice location:
  • Phone: 203-935-6673
  • Fax: 203-440-4233
Mailing address:
  • Phone: 203-935-6673
  • Fax: 203-440-4233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: BRYANT TOBY FRIERSON
Title or Position: OWNER/DIRECTOR
Credential:
Phone: 203-935-6673