Provider Demographics
NPI:1124885702
Name:B&B CARE LLC
Entity type:Organization
Organization Name:B&B CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED AGENT
Authorized Official - Prefix:
Authorized Official - First Name:BAYAAN
Authorized Official - Middle Name:MIKAIL
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-406-0890
Mailing Address - Street 1:5200 W 98TH ST APT 314
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-2067
Mailing Address - Country:US
Mailing Address - Phone:612-406-0890
Mailing Address - Fax:
Practice Address - Street 1:5200 W 98TH ST APT 314
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55437-2067
Practice Address - Country:US
Practice Address - Phone:612-406-0890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health