Beulah Healthcare Services Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

BEULAH HEALTHCARE SERVICES INC.

Practice address

4103 Bridle Ridge Rd
Upper Marlboro, MD 20772-8049

Phone

(301) 257-5788

Fax

(301) 627-3234

NPI assigned

Aug 3, 2012

Last updated

Aug 3, 2012By 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

Mrs. Oluwakemi Florence Ogunmola, RN, BSN, MHA/INFO

Title

President

Phone

(301) 257-5788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1386990778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4103 BRIDLE RIDGE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728049",
            "telephone_number": "301-257-5788",
            "fax_number": "301-627-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 BRIDLE RIDGE RD",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207728049",
            "telephone_number": "301-257-5788",
            "fax_number": "301-627-3234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH HEALTHCARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "OGUNMOLA",
        "authorized_official_first_name": "OLUWAKEMI",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-257-5788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN, MHA/INFO"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Irma Berry, LICSW, LCSW-C
• Leonard Herbert Bers, D.D.S.
• John Besong Besong
• Better Than School Enterprises LLC (Leigh Integrated Wellness Group)
• Samantha Betts
• Beulah Home Health Services (Home Healthcare Services)
• Beulah Nursing Services LLC
• Beulah Spring Assisted Living LLC
• Beulahspring Behavioral Health Services LLC
• Nikiya Bevans

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.