Bevo Healthcare Management Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031084 Issued in MO

Legal business name

BEVO HEALTHCARE MANAGEMENT INC.

Doing business as

Beauvais Manor on the Park

Practice address

3625 Magnolia Ave
Saint Louis, MO 63110-4048

Phone

(314) 771-2990

Fax

(314) 771-7960

NPI assigned

Sep 22, 2006

Last updated

Aug 22, 2020By 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

Mark D Lanier

Title

Cfo

Phone

(314) 771-2990

Specialties & licenses 1

Addresses

Other names 1

• Beauvais Manor on the Park Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark T Boschert, M.D.

  • Plastic Surgery Physician
  • Saint Peters, MO
  • NPI 1558389866
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629178686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3625 MAGNOLIA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631104048",
            "telephone_number": "314-771-2990",
            "fax_number": "314-771-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 MAGNOLIA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631104048",
            "telephone_number": "314-771-2990",
            "fax_number": "314-771-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVO HEALTHCARE MANAGEMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "314-771-2990"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauvais Manor on the Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brett Gregory Beutenmiller, CRNA
• Jordan Anne Beveridge, MD
• Nikki Denise Beverly, B.S.
• Constance Nicole Bevirt, RD, LD
• Elona Danail Bevly
• Jahkiiah Beyah
• Mary B Beyatte, ACNP
• Jacob Beyer, PHARM.D.
• Krista Beyer, MS, RD, LDN
• Beyond Assistance Care LLC

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• 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.