Organization Active NPI

Beulah Integrated Home Health Care LLC

  • Home Health Agency
  • Phoenix, AZ
National Provider Identifier
1114794831
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 4, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.