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NPI Code Detail

MEDICARE: BWB SUNBELT HOME HEALTH SERVICES LLC

MEDICARE: BWB SUNBELT HOME HEALTH SERVICES LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency014427TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
245D0674070OTHERTXCLIA
3001002454OTHERTXMDCP
402364320-2OTHERTXCSHCN

General Provider Information

NPI Number : 1265483416
Entity Type Code : Organization
Provider Name (Legal Business Name) : BWB SUNBELT HOME HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 6330 SPRINT PKWY STE 300
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66211-1157
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 VISCOUNT BLVD
Second Line : SUITE 156
City : EL PASO
State : TX
Zip : 79925-5638
Country : US
Telephone Number : 915-881-8129
Fax Number : 915-881-8645
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : JOHN NICHOLS
Credential :
Telephone Number : 915-881-8129
Provider Enumeration Date : 05/12/2006
Last Update Date : 12/01/2023

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Directions to “BWB SUNBELT HOME HEALTH SERVICES LLC ” Practice Location

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