Provider Demographics
NPI:1699129031
Name:H AND B CARE LLC
Entity type:Organization
Organization Name:H AND B CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JERMAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-596-7683
Mailing Address - Street 1:709 NORTHEAST DR
Mailing Address - Street 2:SUITE 20
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-7430
Mailing Address - Country:US
Mailing Address - Phone:704-449-2309
Mailing Address - Fax:
Practice Address - Street 1:709 NORTHEAST DR
Practice Address - Street 2:SUITE 20
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-7430
Practice Address - Country:US
Practice Address - Phone:704-449-2309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-22
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC201608400126251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management