Active NPI
New Beacon Healthcare Indiana, LLC
- Community Based Hospice Care Agency
- Evansville, IN
National Provider Identifier
1174048086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- NEW BEACON HEALTHCARE INDIANA, LLC
- Practice address
- 915 Main St Ste 608
Evansville, IN 47708-1848 - Phone
- (812) 901-0100
- Fax
- (812) 618-3090
- NPI assigned
- Aug 11, 2017
- 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
- Jessica L Kleberg
- Title
- VP of Legal Affairs
- Phone
- (704) 664-2876
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
915 Main St Ste 608
Evansville, IN 47708-1848
Mailing address
655 Brawley School Rd Ste 200
Mooresville, NC 28117-9601
Phone (704) 664-2876
Other names 1
- New Beacon Evansville
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
915 Main St
Ste 608
Evansville, IN 47708
Phone (812) 901-0100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502409600000",
"number": "1174048086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 BRAWLEY SCHOOL RD STE 200",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281179601",
"telephone_number": "704-664-2876",
"fax_number": "704-664-1306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 MAIN ST STE 608",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477081848",
"telephone_number": "812-901-0100",
"fax_number": "812-618-3090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW BEACON HEALTHCARE INDIANA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-11",
"last_updated": "2017-08-11",
"status": "A",
"authorized_official_last_name": "KLEBERG",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "VP OF LEGAL AFFAIRS",
"authorized_official_telephone_number": "704-664-2876"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Beacon Evansville",
"code": "3",
"type": "Doing Business As"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.