Provider Demographics
NPI:1992542039
Name:BEST CARE HOME PLUS LLC
Entity type:Organization
Organization Name:BEST CARE HOME PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMBOU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:601-345-6961
Mailing Address - Street 1:7964 E CARIBOU PL
Mailing Address - Street 2:
Mailing Address - City:BEL AIRE
Mailing Address - State:KS
Mailing Address - Zip Code:67226-7674
Mailing Address - Country:US
Mailing Address - Phone:601-345-6961
Mailing Address - Fax:
Practice Address - Street 1:742 W 50TH CT S
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67217-5025
Practice Address - Country:US
Practice Address - Phone:316-399-5479
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home