NPIMap

Organization Active NPI

Beauvais Home Care LLC

  • In Home Supportive Care Agency
  • Anniston, AL
National Provider Identifier
1164808358
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEAUVAIS HOME CARE LLC
Practice address
1400 Commerce Blvd
Suite 11
Anniston, AL 36207-9451
Phone
(770) 652-8317
NPI assigned
Aug 11, 2015
Last updated
Aug 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Shawanda Worthy
Title
Administrator
Phone
(770) 652-8317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1400 Commerce Blvd
Suite 11
Anniston, AL 36207-9451

Mailing address

1400 Commerce Blvd
Suite 11
Anniston, AL 36207-9451

National Provider Directory

National Provider Directory
Tax ID family
Beauvais Home Care LLC2 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.

Locations

1400 Commerce Blvd
Ste 11
Anniston, AL 36207
Phone (770) 652-8317

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1164808358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 COMMERCE BLVD",
            "address_2": "SUITE 11",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362079451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 COMMERCE BLVD",
            "address_2": "SUITE 11",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362079451",
            "telephone_number": "770-652-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUVAIS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-652-8317"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.