NPIMap

Organization Active NPI

Beti Homecare Services LLC

  • Home Health Agency
  • Kennesaw, GA
National Provider Identifier
1497205553
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
033R1409 Issued in GA
Legal business name
BETI HOMECARE SERVICES LLC
Practice address
2899 Hilton Cir NW
Kennesaw, GA 30152-5865
Phone
(678) 488-0292
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Mrs. Augustina ObiofumaNPI 1922964311
Title
Administrator
Phone
(678) 488-0292

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 033R1409 GA Primary

Addresses

Primary practice location

2899 Hilton Cir NW
Kennesaw, GA 30152-5865

Mailing address

2899 Hilton Cir NW
Kennesaw, GA 30152-5865
Phone (678) 488-0292

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": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1497205553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2899 HILTON CIR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525865",
            "telephone_number": "678-488-0292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2899 HILTON CIR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525865",
            "telephone_number": "678-488-0292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETI HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "OBIOFUMA",
        "authorized_official_first_name": "AUGUSTINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-488-0292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "033R1409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.