NPIMap

Organization Active NPI

Beulah Hepzibah Inc

  • Home Health Agency
  • Douglasville, GA
National Provider Identifier
1487066429
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
048-R-1264 Issued in GA
Legal business name
BEULAH HEPZIBAH INC
Practice address
4052 Joshua LN
Douglasville, GA 30135-2757
Phone
(229) 389-5382
NPI assigned
May 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Favor OkeNPI 1871905828
Title
Administrator
Phone
(229) 389-5382

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 048-R-1264 GA Primary

Addresses

Primary practice location

4052 Joshua LN
Douglasville, GA 30135-2757

Mailing address

4052 Joshua LN
Douglasville, GA 30135-2757

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.

NPI Registry JSON

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

{
    "created_epoch": "1401062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1487066429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 JOSHUA LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 JOSHUA LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352757",
            "telephone_number": "229-389-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH HEPZIBAH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-26",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "OKE",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "229-389-5382"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "048-R-1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.