Active NPI
Beulah Integrated Home Health Care LLC
- Home Health Agency
- Phoenix, AZ
National Provider Identifier
1114794831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BEULAH INTEGRATED HOME HEALTH CARE LLC
- Practice address
- 1205 W Saint Catherine Ave
Phoenix, AZ 85041-5917 - Phone
- (602) 598-9321
- NPI assigned
- Dec 4, 2023
- 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. Neekpoa Barinua Lawrence Jr., ETC.
- Title
- Owner / Manager
- Phone
- (602) 598-9321
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1205 W Saint Catherine Ave
Phoenix, AZ 85041-5917
Mailing address
1205 W Saint Catherine Ave
Phoenix, AZ 85041-5917
Phone (602) 598-9321
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701648000000",
"number": "1114794831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 W SAINT CATHERINE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415917",
"telephone_number": "602-598-9321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 W SAINT CATHERINE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850415917",
"telephone_number": "602-598-9321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEULAH INTEGRATED HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-04",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "NEEKPOA",
"authorized_official_middle_name": "BARINUA",
"authorized_official_title_or_position": "OWNER / MANAGER",
"authorized_official_telephone_number": "602-598-9321",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "ETC."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.