Beverly Ellis HCS Inc

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

BEVERLY ELLIS HCS INC

Practice address

2320 Blue Smoke CT N
Fort Worth, TX 76105-1003

Phone

(817) 534-5480

Fax

(817) 534-4748

NPI assigned

Oct 28, 2011

Organization subpart

No

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

Authorized official

Name

Beverly Ellis

Title

Ceo

Phone

(817) 534-5480

Specialties & licenses 1

Addresses

Tax ID family

Beverly Diane Ellis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beverly Diane Ellis

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Fort Worth, TX
  • NPI 1639316912
  NPD tax ID

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1164708533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003",
            "telephone_number": "817-534-5480",
            "fax_number": "817-534-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 BLUE SMOKE CT N",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051003",
            "telephone_number": "817-534-5480",
            "fax_number": "817-534-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ELLIS HCS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-534-5480"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garrett Beutel
• Catherine Irene Bevan, MD
• Taylor Bevan, F.N.P.
• Zachary Dean Bevans, ATP
• Beverly Diane Ellis
• Beverly Hills Pain Management
• Esda Beverly, LPC
• Kelly Beverly
• Alexandra Lee Bewley, PA-C
• Beyond Inc.

• Point of Service in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Point of Service in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.