Betelgeuse, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA5105 Issued in FL

Legal business name

BETELGEUSE, INC

Practice address

211 N Franklin St
Sebring, FL 33870-3124

Phone

(863) 381-4276

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Leah Rachelle Pace-Aubrey, CCC/SLP

Title

Speech Languge Pathologist/Owner

Phone

(863) 381-4276

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heartland Speech Therapy Services Doing business as

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1497765671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1586",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338711586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N FRANKLIN ST",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338703124",
            "telephone_number": "863-381-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETELGEUSE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "PACE-AUBREY",
        "authorized_official_first_name": "LEAH",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "SPEECH LANGUGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "863-381-4276",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889022600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "S2368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Speech Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yannetti Bermudez
• Amy Berrong
• Best Behavioral Solutions, LLC
• Best Care Senior Living at Sebring LLC
• Best Hearing Center
• Better Hands Home Care Solutions, LLC
• Nabil Kefah Beydoun, MD
• Deepti Bhandare, MD
• Bipin C Bhatt, MD
• Mina B Bhatt, MD

• Speech-Language Pathologist in Sebring, FL
• Providers in Sebring, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.