Organization Active NPI

Be Healed Homecare, LLC

  • Home Health Agency
  • West Haven, CT
National Provider Identifier
1366017980
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BE HEALED HOMECARE, LLC
Doing business as
Be Healed Homecare, LLC
Practice address
175 Canton St Apt B2
West Haven, CT 06516-2228
Phone
(203) 887-0095
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Authorized official

Name
Ebele Iremeka
Title
Owner
Phone
(203) 887-0095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

175 Canton St Apt B2
West Haven, CT 06516-2228

Mailing address

175 Canton St Apt B2
West Haven, CT 06516-2228
Phone (203) 887-0095

Other names 1

  • BE HEALED HOMECARE, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1621900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1366017980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CANTON ST APT B2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162228",
            "telephone_number": "203-887-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CANTON ST APT B2",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065162228",
            "telephone_number": "203-887-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE HEALED HOMECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "IREMEKA",
        "authorized_official_first_name": "EBELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-887-0095"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BE HEALED HOMECARE, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.