Organization Active NPI

Beckymart Care LLC.

  • Home Health Registered Nurse
  • Austell, GA
National Provider Identifier
1083744718
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
033-R-0097 Issued in GA
Legal business name
BECKYMART CARE LLC.
Practice address
5880 Newnan CT
Austell, GA 30106-7402
Phone
(770) 739-4221
Fax
(678) 699-7179
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Takow Martin Eyong
Title
Administrator
Phone
(770) 739-4221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WH0200X 033-R-0097 GA Primary

Addresses

Primary practice location

5880 Newnan CT
Austell, GA 30106-7402

Mailing address

5880 Newnan CT
Austell, GA 30106-7402
Phone (770) 739-4221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083744718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5880 NEWNAN CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301067402",
            "telephone_number": "770-739-4221",
            "fax_number": "678-699-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 NEWNAN CT",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301067402",
            "telephone_number": "770-739-4221",
            "fax_number": "678-699-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BECKYMART CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EYONG",
        "authorized_official_first_name": "TAKOW",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-739-4221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "GA",
            "license": "033-R-0097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.