Healthcare Provider Details

I. General information

NPI: 1457040206
Provider Name (Legal Business Name): MBB HOMECARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2023
Last Update Date: 02/11/2026
Certification Date: 02/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 NORTHPOINT PARKWAY SUITE 4 WEST PALM BEACH
WEST PALM BEACH FL
33407-1980
US

IV. Provider business mailing address

3111 45TH ST STE 16C
WEST PALM BEACH FL
33407-1980
US

V. Phone/Fax

Practice location:
  • Phone: 561-823-1442
  • Fax: 561-823-3539
Mailing address:
  • Phone: 561-671-9123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MARJORIE BAZILE
Title or Position: ADMINISTRATOR
Credential:
Phone: 561-823-1442