Beacon Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BEACON HOME CARE

Practice address

5275 Edina Industrial Blvd Ste 209
Edina, MN 55439-2916

Phone

(612) 409-5795

NPI assigned

Aug 28, 2023

Organization subpart

No

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

Authorized official

Name

Abdullahi Ahmed

Title

Owner

Phone

(612) 409-5795

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1053196352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-409-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5275 EDINA INDUSTRIAL BLVD STE 209",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392916",
            "telephone_number": "612-409-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-26",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-409-5795"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Anne Baylen, PHD LP
• Krista Baysinger, MSW, LICSW
• Emily Anne Cierzan Bea
• Shiromi Beach, MA, LPCC
• Beacon Health Services LLC
• Myeida Beasley
• Paul Bechard, M.D.
• Laura L Bechtold, OTR/L, CHT
• Louise Beck
• Myra Pearline Becker, L.AC.

• All providers in Edina, MN
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.