Healthcare Provider Details

I. General information

NPI: 1932815503
Provider Name (Legal Business Name): BMB HEALTHCARE PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2023
Last Update Date: 01/26/2023
Certification Date: 01/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3305 SPRING MOUNTAIN RD STE 65
LAS VEGAS NV
89102-8626
US

IV. Provider business mailing address

520 W WILSON AVE APT 104
GLENDALE CA
91203-2426
US

V. Phone/Fax

Practice location:
  • Phone: 626-267-0245
  • Fax:
Mailing address:
  • Phone: 818-915-6466
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. BRIAN XYLE LIMBO
Title or Position: OWNER/ ADMINISTRATION
Credential: BSN, RN
Phone: 626-267-0245