Beacon Health Ventures Michigan, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEACON HEALTH VENTURES MICHIGAN, INC.

Practice address

69045 M-62
Suite a-1
Edwardsburg, MI 49112

Phone

(269) 663-2201

Fax

(269) 663-2209

NPI assigned

Jan 26, 2007

Last updated

Feb 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sandra L Smigielski

Title

Manager

Phone

(574) 647-8731

Specialties & licenses 1

Addresses

Other identifiers 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Beacon Health Ventures Inc

  • Durable Medical Equipment & Medical Supplies
  • Elkhart, IN
  • NPI 1033473830

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1578619078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 DOUGLAS ROAD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "46635",
            "telephone_number": "574-647-8731",
            "fax_number": "574-647-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69045 M-62",
            "address_2": "SUITE A-1",
            "city": "EDWARDSBURG",
            "state": "MI",
            "postal_code": "49112",
            "telephone_number": "269-663-2201",
            "fax_number": "269-663-2209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH VENTURES MICHIGAN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "SMIGIELSKI",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "574-647-8731"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578619078",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Advanced Practice Primary Care Staff Associates
• All About You Homecare
• Shanna Anthony
• Catherine Ann Bazata, OTR
• Beacon Medical Group, Inc. (Beacon Medical Group Edwardsburg)
• Byron Counseling LLC
• Mary Rebecca Casteel
• Clear Choice Chiropractic of Edwardsburg, P.C.
• George Erving Drake, MD

• Home Health Agency in Edwardsburg, MI
• Providers in Edwardsburg, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.