Organization Active NPI

New Beacon Healthcare Indiana, LLC

  • Community Based Hospice Care Agency
  • Evansville, IN
National Provider Identifier
1174048086
Registry record updated Aug 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Aug 11, 2017

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Member 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"
        }
    ]
}

Other providers in Evansville, IN

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.

Verify at the official NPI Registry.