Beverly Home Health Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEVERLY HOME HEALTH CARE, INC.

Practice address

2045 S. Arlington Heights Road,
1Ste 116
Arlington Heights, IL 60005-1499

Phone

(708) 583-1626

Fax

(708) 221-7196

NPI assigned

Oct 21, 2009

Last updated

Nov 28, 2012By 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

Ms. Rosita Cuyugan Tri Nidad

Title

President/Secretary

Phone

(708) 583-1626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1093041360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 S. ARLINGTON HEIGHTS ROAD",
            "address_2": "STE 116",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051499",
            "telephone_number": "708-583-1626",
            "fax_number": "708-221-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 S. ARLINGTON HEIGHTS ROAD,",
            "address_2": "1STE 116",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051499",
            "telephone_number": "708-583-1626",
            "fax_number": "708-221-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "TRI NIDAD",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_middle_name": "CUYUGAN",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "708-583-1626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "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 Nov 28, 2012; 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.