Healthcare Provider Details

I. General information

NPI: 1396870382
Provider Name (Legal Business Name): B&B CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 10/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S LAUREL ST
SPRINGFIELD GA
31329-9259
US

IV. Provider business mailing address

303 S LAUREL ST
SPRINGFIELD GA
31329-9259
US

V. Phone/Fax

Practice location:
  • Phone: 912-754-0817
  • Fax: 912-754-1534
Mailing address:
  • Phone: 912-754-0817
  • Fax: 912-754-1534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number051R0002
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number051R0002
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number051R0002
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number051R0002
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251X00000X
TaxonomySupports Brokerage Agency
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LYNNETTE W. BRAGG
Title or Position: CEO
Credential:
Phone: 912-754-0817