Provider Demographics
NPI:1306081690
Name:BBCM GROUP HOLDINGS INC
Entity type:Organization
Organization Name:BBCM GROUP HOLDINGS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-726-2272
Mailing Address - Street 1:409 CALLE SAN JORGE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00912-3313
Mailing Address - Country:US
Mailing Address - Phone:787-726-2272
Mailing Address - Fax:787-982-5960
Practice Address - Street 1:409 CALLE SAN JORGE
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-3313
Practice Address - Country:US
Practice Address - Phone:787-726-2272
Practice Address - Fax:787-982-5960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care