Beverley's Home Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BEVERLEY'S HOME HEALTHCARE LLC

Practice address

6404 Shortleaf PL
Jacksonville, FL 32244-8122

Phone

(215) 596-5200

Fax

(215) 596-5200

NPI assigned

Oct 17, 2020

Last updated

Oct 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Beverley

Title

Ceo

Phone

(215) 596-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602892800000",
    "number": "1255930681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BALTIMORE PIKE APT 630",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190643810",
            "telephone_number": "215-596-5200",
            "fax_number": "215-596-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6404 SHORTLEAF PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322448122",
            "telephone_number": "215-596-5200",
            "fax_number": "215-596-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLEY'S HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A",
        "authorized_official_last_name": "BEVERLEY",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-596-5200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Betts
• Betty Jean Homecare Services LLC
• Haley Lane Beuttell
• Doreen Bevans, RDN/LDN
• Latosha Michelle Bevel
• Marissa Brynn Beverly
• Elaine Beville, MS, RD, LDN
• Bewell in-Home Care Services LLC
• Amy Beyer, SLP
• Beyond 90 Inc.

• In Home Supportive Care Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2020; 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.