Charlie Bob, Llc

LBN: Charlie Bob, Llc
Charlie Bob, Llc is an health care organization with primary practice located at 5202 Saint Joe Rd Suite 118, Fort Wayne IN 46835-3380. The organization recently has only one registered license in Agencies / In Home Supportive Care, which is considered as the primary health care specialty. Charlie Bob, Llc can be contacted via phone (260) 918-9525, or through Packer, Charles via phone (574) 265-1568.

Contact Information

Primary practice address
5202 Saint Joe Rd Suite 118 Fort Wayne IN 46835-3380
Phone: (260) 918-9525
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Packer, Charles
Phone: (574) 265-1568

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X

Profile Details

NPI number 1295119154
LBN Legal business name Charlie Bob, Llc
DBA Doing business as
Authorized official Packer, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jul 10th, 2015
Last updated Jul 10th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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