Beauvais Home Care LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BEAUVAIS HOME CARE LLC

Practice address

3400 Chapel Hill Rd
Suite 309
Douglasville, GA 30135-1739

Phone

(678) 741-5315

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By 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

Shawanda Worthy

Title

Administrator

Phone

(678) 741-5315

Specialties & licenses 1

Addresses

Tax ID family

Beauvais Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Beauvais Home Care LLC

  • In Home Supportive Care Agency
  • Anniston, AL
  • NPI 1164808358
  NPD tax ID

Locations

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1588031769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "address_2": "SUITE 309",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CHAPEL HILL RD",
            "address_2": "SUITE 309",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351739",
            "telephone_number": "678-741-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUVAIS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "WORTHY",
        "authorized_official_first_name": "SHAWANDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-741-5315"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Bassette, APRN, FNP
• Nichelle Christine Bateman
• Be Strown Enterprises LLC
• Byanca Maelea Beasley, LMSW
• Quinsana Beaty, LPC
• Sandrine Beauzil
• Stephanie Beckel
• Alyce Beier
• Denese Natalee Bell-Martin, LPC
• Courtney Bell

• Adult Care Home Facility in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.