Organization Active NPI

Molly Beam LLC

  • Home Health Agency
  • Henderson, NV
National Provider Identifier
1609296706
Registry record updated Apr 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
0792 Issued in NV
Legal business name
MOLLY BEAM LLC
Practice address
3039 Andretti LN
Henderson, NV 89052-4144
Phone
(702) 379-0559
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2014

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

Authorized official

Name
Molly Beam, OTR/L
Title
Occupational Therapist
Phone
(702) 379-0559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 0792 NV Primary

Addresses

Primary practice location

3039 Andretti LN
Henderson, NV 89052-4144

Mailing address

3039 Andretti LN
Henderson, NV 89052-4144
Phone (702) 379-0559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1609296706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3039 ANDRETTI LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524144",
            "telephone_number": "702-379-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 ANDRETTI LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524144",
            "telephone_number": "702-379-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLY BEAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "BEAM",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "702-379-0559",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "0792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; 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.