Gary Beagle

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

800 N Main St
Malta, OH 43758-9019

Phone

(740) 442-7758

NPI assigned

Feb 18, 2021

Last updated

Feb 18, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/landofgoshentreatmentcenter/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Land of Goshen Treatment Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ironton, OH
  • NPI 1003571795
  NPD
• Land of Goshen Treatment Center, Inc

  • Substance Abuse Rehabilitation Facility
  • Ironton, OH
  • NPI 1568822633
  NPD

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1073106266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 TOWNSHIP ROAD 349",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456388617",
            "telephone_number": "404-427-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN ST",
            "city": "MALTA",
            "state": "OH",
            "postal_code": "437589019",
            "telephone_number": "740-442-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGLE",
        "first_name": "GARY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Able Living Solutions LLC
• David Adkins
• Brandy Bailey
• Eric Bennett
• Douglas William Bobst Jr.
• Cody Bowen
• Susan M Boyer, LPN
• Kimberly Brannon

• Case Manager/Care Coordinator in Malta, OH
• Providers in Malta, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.