Active NPI
Beebe Medical Center, Inc.
Doing business as Beebe Home Health Agency
- Home Health Agency
- Millsboro, DE
National Provider Identifier
1063513075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHAS-002
- Legal business name
- BEEBE MEDICAL CENTER, INC.
- Doing business as
- Beebe Home Health Agency
- Practice address
- 232 Mitchell St Unit 200
Millsboro, DE 19966-9412 - Phone
- (302) 934-5830
- Fax
- (302) 934-5835
- NPI assigned
- Sep 25, 2006
- Last updated
- Oct 3, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ryan Kennedy
- Title
- SVP and Chief Financial Officer
- Phone
- (302) 645-3300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHAS-002 | DE | Primary |
Addresses
Primary practice location
232 Mitchell St Unit 200
Millsboro, DE 19966-9412
Mailing address
232 Mitchell St Unit 200
Millsboro, DE 19966-9412
Phone (302) 934-5830
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000984555 | Other | DE | MEDICAID WAIVER |
| 0000062714 | Medicaid | DE |
Other names 1
- Beebe Home Health Agency
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030408000029 | DE | Part A Provider - Home Health Agency | 8921917972 | Practice locations: Millsboro, DE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1063513075. Details of each certification follow.
Home health agency certification: CCN 087023
- Legal name
- BEEBE MEDICAL CENTER INC
- Doing business as
- BEEBE HOSPITAL HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Mar 22, 1985
- Last certification
- Mar 31, 2017
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Jan 1, 1935 in DE
- Enrollment address
- 232 Mitchell St
Unit 200
Millsboro, DE 19966-9412
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Beebe Hospital Home Health
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Mar 22, 1985
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Millville Family Health
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Lewes, DE
- NPI 1154704641
-
- Infusion Therapy Clinic/Center
- Lewes, DE
- NPI 1487019725
-
- Long Term Care Pharmacy
- Lewes, DE
- NPI 1184768996
-
- Respite Care
- Rehoboth Beach, DE
- NPI 1760512057
Locations
232 Mitchell St
Fl 2
Millsboro, DE 19966
232 Mitchell St
Unit 200
Millsboro, DE 19966
Phone (302) 854-5210
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecca Lynne Markowitz | W-2 Managing Employee | Nov 11, 2019 | |
| Kathryn Wrazidlo | W-2 Managing Employee | Aug 29, 2022 |
Practitioners & affiliated clinicians
Affiliated clinicians 142
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Selbyville, DE
- NPI 1114654472
Home health agency
-
- Internal Medicine Physician
- Georgetown, DE
- NPI 1134184278
Home health agency
-
- Neurological Surgery Physician
- Newark, DE
- NPI 1235392945
Home health agency
-
- Internal Medicine Physician
- Lewes, DE
- NPI 1609873413
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727913600000",
"number": "1063513075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "232 MITCHELL ST UNIT 200",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199669412",
"telephone_number": "302-934-5830",
"fax_number": "302-934-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 MITCHELL ST UNIT 200",
"city": "MILLSBORO",
"state": "DE",
"postal_code": "199669412",
"telephone_number": "302-934-5830",
"fax_number": "302-934-5835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEEBE MEDICAL CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-25",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "SVP AND CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "302-645-3300",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DE",
"license": "HHAS-002",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "0000984555",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000062714",
"state": "DE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Beebe Home Health Agency",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Beebe Home Health Agency",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Millsboro, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.