NPIMap

Organization Active NPI

Beacon Hospice of West Detroit LP

  • Community Based Hospice Care Agency
  • Bingham Farms, MI
National Provider Identifier
1235536269
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BEACON HOSPICE OF WEST DETROIT LP
Practice address
30700 Telegraph Rd
Suite 3650C
Bingham Farms, MI 48025-4524
Phone
(313) 818-3991
Fax
(313) 818-3993
NPI assigned
Nov 19, 2014
Last updated
Apr 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Karen Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

30700 Telegraph Rd
Suite 3650C
Bingham Farms, MI 48025-4524

Mailing address

3406 College St
Suite 200
Beaumont, TX 77701-4612
Phone (409) 730-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220613002147 MI Part A Provider - Hospice 5698084333 Practice locations: Bingham Farms, MI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235536269. Details of each certification follow.

Hospice certification: CCN 231705

Legal name
BEACON HOSPICE OF WEST DETROIT LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 20, 2021
Last certification
Aug 19, 2021
Organization structure
OtherProprietary
Incorporated
Jul 3, 2014 in TX
Enrollment address
30700 Telegraph Rd
Ste 3650C
Bingham Farms, MI 48025-4527

Care Compare: Hospice

Medicare Care Compare
Listed as
Beacon Hospice of West Detroit, LPCCN 231705 · All quality measures
Certified
Aug 20, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

30700 Telegraph Rd
Ste 3650C
Bingham Farms, MI 48025
Phone (248) 480-4440

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Jul 3, 2014 99%
HHCS Managers LLC Organization, Beaumont, TX LLC General Partnership Interest Jul 3, 2014 1%
Qamar U Arfeen Individual 5% Or Greater Indirect Ownership Interest Jul 3, 2014 50%
Kelley L Arfeen Individual 5% Or Greater Indirect Ownership Interest Jul 3, 2014 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1235536269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST",
            "address_2": "SUITE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-730-2022",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 TELEGRAPH RD",
            "address_2": "SUITE 3650C",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254524",
            "telephone_number": "313-818-3991",
            "fax_number": "313-818-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOSPICE OF WEST DETROIT LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.