NPIMap

Organization Active NPI

Beauvais Health Homecare 3 Beauvais Nursing School Corporation

  • Home Health Agency
  • West Orange, NJ
National Provider Identifier
1669309084
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEAUVAIS HEALTH HOMECARE 3 BEAUVAIS NURSING SCHOOL CORPORATION
Practice address
111 Northfield Ave Ste 208a
West Orange, NJ 07052-4730
Phone
(973) 486-4412
Fax
(973) 537-1006
NPI assigned
May 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Wilda B Beauvais, DO
Title
Owner
Phone
(954) 997-5842

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Home Infusion Agency 251F00000X

Addresses

Primary practice location

111 Northfield Ave Ste 208a
West Orange, NJ 07052-4730

Mailing address

111 Northfield Ave Ste 208a
West Orange, NJ 07052-4730
Phone (973) 486-4412

Other identifiers 2

IdentifierTypeStateIssuer
1254383MedicaidNJ
121322200MedicaidFL

Other names 1

  • Beauvais Health Homecare 3 Inc Other name

National Provider Directory

National Provider Directory
Tax ID family
Beauvais Health Homecare 3 Beauvais Nursing School Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1778112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1669309084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE STE 208A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524730",
            "telephone_number": "973-486-4412",
            "fax_number": "973-537-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NORTHFIELD AVE STE 208A",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524730",
            "telephone_number": "973-486-4412",
            "fax_number": "973-537-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUVAIS HEALTH HOMECARE 3 BEAUVAIS NURSING SCHOOL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-07",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "BEAUVAIS",
        "authorized_official_first_name": "WILDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-997-5842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1254383",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121322200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauvais Health Homecare 3 Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.