Beacon of Hope Hospice, Inc.

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BEACON OF HOPE HOSPICE, INC.

Practice address

1318 Ravenwood Rd
Waterloo, IA 50702-5447

Phone

(319) 234-4673

Fax

(563) 391-5104

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn E Mullins, RN

Title

President

Phone

(314) 815-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1669413555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 RAVENWOOD RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025447",
            "telephone_number": "319-234-4673",
            "fax_number": "563-391-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 RAVENWOOD RD",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025447",
            "telephone_number": "319-234-4673",
            "fax_number": "563-391-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE HOSPICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-815-3500",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan D Battreall
• Ryan Bauermeister, DPM
• Samantha Baumgartner, PHARMD
• Paymun Bayati, DDS
• Karim Magdy Abdelmoneim Bayoumy, M.D.
• Charlottte Beattie
• Brandon Beauchamp, DO
• Timothy Paul Becher, CRNA
• Jene Michelle Beck
• Alexandra E. Becker

• All providers in Waterloo, IA
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.