Organization Active NPI

Village Care Providers of Beaumont Inc

  • Home Health Agency
  • Beaumont, TX
National Provider Identifier
1265120703
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
VILLAGE CARE PROVIDERS OF BEAUMONT INC
Practice address
5825 Phelan Blvd Ste 106
Beaumont, TX 77706-6200
Phone
(409) 838-5151
Fax
(409) 838-6161
NPI assigned
Apr 24, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Authorized official

Name
Dolly R Daria
Title
Administrator/Owner
Phone
(409) 350-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

5825 Phelan Blvd Ste 106
Beaumont, TX 77706-6200

Mailing address

PO Box 5668
Beaumont, TX 77726-5668
Phone (409) 838-5151

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682294400000",
    "number": "1265120703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5668",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265668",
            "telephone_number": "409-838-5151",
            "fax_number": "409-838-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 PHELAN BLVD STE 106",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777066200",
            "telephone_number": "409-838-5151",
            "fax_number": "409-838-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CARE PROVIDERS OF BEAUMONT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A",
        "authorized_official_last_name": "DARIA",
        "authorized_official_first_name": "DOLLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "409-350-5224"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; 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.