Beacon Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

72983221 Issued in CO

Legal business name

BEACON HOME CARE

Practice address

1450 S Havana St
# 707
Aurora, CO 80012-4018

Phone

(720) 748-7843

NPI assigned

Mar 3, 2016

Organization subpart

No

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

Authorized official

Name

Marina Gougouglian

Title

Owner

Phone

(720) 748-7843

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Marina Gougoulian

  • Personal Care Attendant
  • Aurora, CO
  • NPI 1740658152
  NPD (past)

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1477913416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "# 707",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "720-748-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST",
            "address_2": "# 707",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124018",
            "telephone_number": "720-748-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "GOUGOUGLIAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-748-7843"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CO",
            "license": "72983221",
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CO",
            "license": "72983221",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BB Angels Home Health Agency Inc.
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• Bba Transprtation Inc
• Shalrefa Be
• Kendra Beacham
• Beacon of Hope Care Agency LLC
• Beacon of Hope Care Agency LLC
• Beacon Skilled Care LLC
• John Bealer, MD
• Dana Lynn Beall Brown, PHD

• In Home Supportive Care Agency in Aurora, CO
• Providers in Aurora, CO by specialty
• In Home Supportive Care Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.