Healthcare Provider Details

I. General information

NPI: 1740595628
Provider Name (Legal Business Name): 3B.I.C, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33401 WOODWARD AVE
BIRMINGHAM MI
48009-0907
US

IV. Provider business mailing address

33401 WOODWARD AVE
BIRMINGHAM MI
48009-0907
US

V. Phone/Fax

Practice location:
  • Phone: 248-283-0835
  • Fax: 248-281-5351
Mailing address:
  • Phone: 248-283-0835
  • Fax: 248-281-5351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MR. ROBERT T LOUIS-FERDINAND JR.
Title or Position: OWNER / CARE COORDINATOR
Credential:
Phone: 248-283-0835