Healthcare Provider Details

I. General information

NPI: 1508408279
Provider Name (Legal Business Name): BHH HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2019
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 MAIN ST STE 110
BUDA TX
78610-3273
US

IV. Provider business mailing address

825 MAIN ST STE 120
BUDA TX
78610-3273
US

V. Phone/Fax

Practice location:
  • Phone: 512-565-6182
  • Fax:
Mailing address:
  • Phone: 512-565-6182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: BRANDIS WILMORE
Title or Position: PRESIDENT
Credential:
Phone: 512-565-6182