Healthcare Provider Details

I. General information

NPI: 1003338112
Provider Name (Legal Business Name): BEBE'S NURSING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 06/23/2020
Certification Date: 06/23/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7171 N UNIVERSITY DR STE 205
TAMARAC FL
33321-2902
US

IV. Provider business mailing address

7171 N UNIVERSITY DR STE 205
TAMARAC FL
33321-2902
US

V. Phone/Fax

Practice location:
  • Phone: 954-597-6939
  • Fax: 954-597-6935
Mailing address:
  • Phone: 954-597-6939
  • Fax: 954-597-6935

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 Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BERTHE ABBIE FRANCOIS
Title or Position: CEO
Credential: RN
Phone: 954-675-3460