Beacon Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BEACON HOME CARE

Practice address

555 Pierce St Ste CML 4
Albany, CA 94706-1078

Phone

(510) 526-2273

NPI assigned

Aug 29, 2022

Last updated

Aug 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elvira Flores-Loera

Title

Market Operations Manager

Phone

(650) 587-8288

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1043930340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PIERCE ST STE CML 4",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061078",
            "telephone_number": "510-526-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PIERCE ST STE CML 4",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947061078",
            "telephone_number": "510-526-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "FLORES-LOERA",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "MARKET OPERATIONS MANAGER",
        "authorized_official_telephone_number": "650-587-8288"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.