Organization Active NPI

Beacon Harbor Home Health, Inc

  • Home Health Agency
  • Brownsville, TX
National Provider Identifier
1376594085
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009611 Issued in TX
Legal business name
BEACON HARBOR HOME HEALTH, INC
Practice address
292 Kings Hwy
Suite 9
Brownsville, TX 78521-4265
Phone
(956) 548-0016
Fax
(956) 548-0024
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Rosa Minerva Landin
Title
Owner
Phone
(956) 548-0016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009611 TX Primary

Addresses

Primary practice location

292 Kings Hwy
Suite 9
Brownsville, TX 78521-4265

Mailing address

292 Kings Hwy
Suite 9
Brownsville, TX 78521-4265
Phone (956) 548-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

302 Kings Hwy
Ste 104
Brownsville, TX 78521
Phone (956) 548-0016

325 Kings Hwy
Ste 1
Brownsville, TX 78521
Phone (956) 548-0016

292 Kings Hwy
Ste 9
Brownsville, TX 78521
Phone (956) 548-0016

302 Kings Hwy
Ste 109
Brownsville, TX 78521
Phone (950) 548-0016

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 28, 2024 Change of OwnershipThis provider was the seller Gold Star Care Home Health LLCCCN 677897, TX, NPI 1053034579

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1376594085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "292 KINGS HWY",
            "address_2": "SUITE 9",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214265",
            "telephone_number": "956-548-0016",
            "fax_number": "956-548-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 KINGS HWY",
            "address_2": "SUITE 9",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785214265",
            "telephone_number": "956-548-0016",
            "fax_number": "956-548-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HARBOR HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "LANDIN",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "MINERVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-548-0016"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.