Healthcare Provider Details

I. General information

NPI: 1730950429
Provider Name (Legal Business Name): BIMBIM CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2335 W DEVON AVE STE 208
CHICAGO IL
60659-5501
US

IV. Provider business mailing address

9700 DEE RD
DES PLAINES IL
60016-1767
US

V. Phone/Fax

Practice location:
  • Phone: 773-654-3405
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: ABIMBOLA BARRETT
Title or Position: OWNER
Credential: RN
Phone: 773-879-8364