Organization Active NPI

Beattycare Home Health Services

  • Home Health Agency
  • Alexandria, VA
National Provider Identifier
1437539871
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HCO1512621 Issued in VA
Legal business name
BEATTYCARE HOME HEALTH SERVICES
Practice address
6381 Little River Tpke Ste 2
Alexandria, VA 22312-5002
Phone
(703) 665-0780
NPI assigned
Jun 1, 2015
Last updated
Feb 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Authorized official

Name
Clifford Epheus BeattyNPI 1205547981
Title
Administrator
Phone
(703) 505-6184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HCO1512621 VA Primary

Addresses

Primary practice location

6381 Little River Tpke Ste 2
Alexandria, VA 22312-5002

Mailing address

6381 Little River Tpke Ste 2
Alexandria, VA 22312-5002
Phone (703) 665-0780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200903000130 VA Part A Provider - Home Health Agency 9335566454 Practice locations: Alexandria, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437539871. Details of each certification follow.

Home health agency certification: CCN 497789

Legal name
BEATTYCARE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 18, 2022
Last certification
Feb 17, 2022
Organization structure
LLCProprietary
Incorporated
Sep 2, 2014 in VA
Enrollment address
6092 Franconia Rd
Alexandria, VA 22310-1741

Care Compare: Home health agency

Medicare Care Compare
Listed as
Beattycare Home Health ServicesCCN 497789 · All quality measures
Ownership
-
Certified
Mar 18, 2022
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2224871Beattycare Home Health Services6092 Franconia Road, Alexandria, VA 22310Certificate of waiverMay 16, 2027

National Provider Directory

National Provider Directory

Locations

6092 Franconia Rd
Alexandria, VA 22310
Phone (703) 922-0443

6381 Little River Tpke
Ste 2
Alexandria, VA 22312
Phone (703) 665-0780

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edward Lahoud Individual Corporate OfficerBoard Chairman Nov 30, 2021
Clifford E Beatty Individual 5% Or Greater Direct Ownership Interest Nov 30, 2021 50%
Operational/Managerial ControlAdministrator Sep 2, 2020 100%
Christine D Beatty Individual 5% Or Greater Direct Ownership Interest Nov 30, 2021 50%

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1437539871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6381 LITTLE RIVER TPKE STE 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125002",
            "telephone_number": "703-665-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6381 LITTLE RIVER TPKE STE 2",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223125002",
            "telephone_number": "703-665-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATTYCARE HOME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "EPHEUS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-505-6184"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "VA",
            "license": "HCO1512621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.