Provider Demographics
NPI:1104491364
Name:ELLE BEE CARE LLC
Entity type:Organization
Organization Name:ELLE BEE CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LASHAWNA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BRADBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-901-2584
Mailing Address - Street 1:12623 SAI BABA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77038-1493
Mailing Address - Country:US
Mailing Address - Phone:281-901-2584
Mailing Address - Fax:
Practice Address - Street 1:12623 SAI BABA DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77038-1493
Practice Address - Country:US
Practice Address - Phone:281-901-2584
Practice Address - Fax:346-312-5241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health