Beta Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BETA HOME HEALTH CARE INC

Practice address

705 E Virginia Way Ste D
Barstow, CA 92311-3955

Phone

(706) 979-2068

Fax

(760) 979-2076

NPI assigned

Dec 17, 2018

Last updated

Aug 25, 2023By 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

Marissa Deato

Title

Ceo/Administrator

Phone

(706) 979-2068

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154892081. Details of each certification follow.

• CCN 757273 Home health agency · Active · Details

Home health agency certification: CCN 757273

Legal name

BETA HOME HEALTH CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 10, 2023

Last certification

Dec 20, 2022

Organization structure

CorporationProprietary

Incorporated

Nov 16, 2018 in CA

Enrollment address

705 E Virginia Way
Ste D
Barstow, CA 92311-3955

Listed as

Beta Home Health Care IncCCN 757273 · All quality measures

Ownership

-

Certified

Jan 10, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Andres Gavino Alvarez De la Llana, MD

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1497802094

  Home health agency

  Care Compare affiliation
• Tzu-Shang Thomas Liu, MD PHD

  • Orthopaedic Surgery Physician
  • Apple Valley, CA
  • NPI 1922201318

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1154892081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY STE D",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113955",
            "telephone_number": "706-979-2068",
            "fax_number": "760-979-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY STE D",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113955",
            "telephone_number": "706-979-2068",
            "fax_number": "760-979-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETA HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "DEATO",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "706-979-2068"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalya Alexis Becerra
• Laura Becerril
• Donald Anthony Belanger
• Cathy Marie Bellard, LVN
• Adilene Bernardino
• Maria Eloisa Betancourt
• Beverly Radiology Medical Group III
• Amanda Ann Birescik
• Sheryl Bixler
• Caitlin Black

• Home Health Agency in Barstow, CA
• Providers in Barstow, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.