Beacon Community Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEACON COMMUNITY CARE LLC

Practice address

10800 Lyndale Ave S Ste 165
Bloomington, MN 55420-5698

Phone

(612) 439-3634

Fax

(612) 439-3674

NPI assigned

May 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Muhyedin Rashid Djirdi

Title

Executive Director

Phone

(612) 412-4894

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1023755337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 355",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205644",
            "telephone_number": "612-439-3634",
            "fax_number": "612-439-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 LYNDALE AVE S STE 165",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554205698",
            "telephone_number": "612-439-3634",
            "fax_number": "612-439-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "DJIRDI",
        "authorized_official_first_name": "MUHYEDIN",
        "authorized_official_middle_name": "RASHID",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-412-4894"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew H Bauer, MD
• Taylor Marie Bauer
• Susan E Bayer, OPA-C
• Emily Bayles, PA-C
• Grady Bazzell
• Beacon Hill Psychiatry
• Beacon Preparatory School
• Jennifer Bean, OTA
• Suzanne Mary Beatty, DDS
• Alannah Beck

• Home Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.