{
"Npi": {
"NPI": "1235802489",
"EntityType": "Organization",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": null,
"IsOrgSubpart": "N",
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": "BB'S ALLCARE LLC",
"LastName": null,
"FirstName": null,
"MiddleName": null,
"NamePrefix": null,
"NameSuffix": null,
"Credential": null,
"OtherOrgName": null,
"OtherOrgNameTypeCode": "6",
"OtherLastName": null,
"OtherFirstName": null,
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": null,
"OtherLastNameTypeCode": null,
"FirstLineMailingAddress": "12820 FOREST CREEK CT",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SYKESVILLE",
"MailingAddressStateName": "MD",
"MailingAddressPostalCode": "21784-5526",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "443-536-5712",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "6220 GEORGETOWN BLVD STE C",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "ELDERSBURG",
"PracticeLocationAddressStateName": "MD",
"PracticeLocationAddressPostalCode": "21784-6417",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "443-536-5712",
"PracticeLocationAddressFaxNumber": "833-906-2570",
"EnumerationDate": "07/25/2021",
"LastUpdateDate": "03/21/2025",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BARTOS",
"AuthorizedOfficialFirstName": "BRANDIE",
"AuthorizedOfficialMiddleName": "DARLENE",
"AuthorizedOfficialTitle": "PROVIDER/OWNER",
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "FNP",
"AuthorizedOfficialTelephoneNumber": "443-536-5712",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "363L00000X",
"TaxonomyName": "Nurse Practitioner",
"LicenseNumber": null,
"LicenseNumberStateCode": null,
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}