MEDICARE: B & B HOME HEALTH SERVICES INC.

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
1	251E00000X	Home Health Agency	299993273	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	299993273	OTHER	FL	AHCA

General Provider Information

NPI Number	:	1932357738
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & B HOME HEALTH SERVICES INC.

Provider Business Mailing Address
First Line	:	2450 HOLLYWOOD BLVD
Second Line	:	SUITE 502
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2666
Country	:	US
Telephone Number	:	954-671-1370
Fax Number	:	954-861-4348

Provider Business Practice Location Address
First Line	:	2450 HOLLYWOOD BLVD
Second Line	:	SUITE 502
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-2666
Country	:	US
Telephone Number	:	954-237-0905
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	IGOR NUNEZ
Credential	:
Telephone Number	:	954-671-1370

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	08/02/2010

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