Active NPI
Beckon of Hope
- In Home Supportive Care Agency
- Fort Mill, SC
National Provider Identifier
1174067573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- IHCP-0594
- Legal business name
- BECKON OF HOPE
- Practice address
- 1050 Forbes Rd
Fort Mill, SC 29707-5515 - Phone
- (704) 293-2853
- NPI assigned
- Dec 5, 2016
- Last updated
- Dec 5, 2016
- 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
- Mr. Trevor Brown
- Title
- Ceo
- Phone
- (704) 293-2853
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | IHCP-0594 | SC | Primary |
Addresses
Primary practice location
1050 Forbes Rd
Fort Mill, SC 29707-5515
Mailing address
1050 Forbes Rd
Fort Mill, SC 29707-5515
Phone (704) 293-2853
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Driver
- Fort Mill, SC
- NPI 1720626989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1480896000000",
"number": "1174067573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1050 FORBES RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297075515",
"telephone_number": "704-293-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 FORBES RD",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297075515",
"telephone_number": "704-293-2853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BECKON OF HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A",
"authorized_official_last_name": "BROWN",
"authorized_official_first_name": "TREVOR",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "704-293-2853",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "SC",
"license": "IHCP-0594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.