Organization Active NPI

Beracah Healthcare Solutions, LLC

  • Customized Equipment (DME)
  • Alexandria, LA
National Provider Identifier
1619019536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
BERACAH HEALTHCARE SOLUTIONS, LLC
Practice address
5302 Jacquella Dr
Alexandria, LA 71301-2529
Phone
(318) 487-2055
Fax
(318) 487-6982
NPI assigned
Feb 14, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Gloria Cutts
Title
Owner-Officer
Phone
(318) 487-2055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X NU Primary

Addresses

Primary practice location

5302 Jacquella Dr
Alexandria, LA 71301-2529

Mailing address

5302 Jacquella Dr
Alexandria, LA 71301-2529
Phone (318) 487-2055

Other identifiers 1

IdentifierTypeStateIssuer
1149799MedicaidLA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619019536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5302 JACQUELLA DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012529",
            "telephone_number": "318-487-2055",
            "fax_number": "318-487-6982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5302 JACQUELLA DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713012529",
            "telephone_number": "318-487-2055",
            "fax_number": "318-487-6982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERACAH HEALTHCARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CUTTS",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OWNER-OFFICER",
        "authorized_official_telephone_number": "318-487-2055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149799",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.