Beacon Health Systems, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

005-R-1041 Issued in GA

Legal business name

BEACON HEALTH SYSTEMS, INC.

Practice address

507 N Houston Rd
Suite D-3
Warner Robins, GA 31093-8828

Phone

(478) 845-0881

Fax

(478) 845-0858

NPI assigned

May 14, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Prince Ejemole

Title

Administrator

Phone

(478) 457-7706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1598024440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 CRAGGY PERCH",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358700",
            "telephone_number": "478-845-0881",
            "fax_number": "478-845-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N HOUSTON RD",
            "address_2": "SUITE D-3",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310938828",
            "telephone_number": "478-845-0881",
            "fax_number": "478-845-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "EJEMOLE",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "478-457-7706",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "005-R-1041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Michael Bartlett
• Sharonda Lasha Basby, FNP-C
• Haylee Wilson Bassett
• Timothy Batchelor
• Carol Batten-Cooper
• Beacon Insight Counseling
• Robin Beal, CCC-SLP
• Cattie Beaucicaut
• Deborah A. Becker, RN, CNS-PMH
• Tamara Alanna Beckett, O.D.

• In Home Supportive Care Agency in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; 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.