Provider Demographics
NPI:1215737226
Name:B&H SUPPORT SERVICES LLC
Entity type:Organization
Organization Name:B&H SUPPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KADRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGOROH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-402-8077
Mailing Address - Street 1:39 TALL PINES
Mailing Address - Street 2:APT 9
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240
Mailing Address - Country:US
Mailing Address - Phone:207-402-8077
Mailing Address - Fax:
Practice Address - Street 1:39 TALL PINES
Practice Address - Street 2:APT 9
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240
Practice Address - Country:US
Practice Address - Phone:207-402-8077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care