Beulah Health Care PLLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEULAH HEALTH CARE PLLC

Practice address

1324 N Farrell CT Ste 109
Gilbert, AZ 85233-1945

Phone

(623) 201-0084

Fax

(623) 444-9566

NPI assigned

Aug 9, 2021

Organization subpart

No

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

Authorized official

Name

Catherine O Samuel-Ojo, DNPNPI 1588990394

Title

Nurse Practitioner

Phone

(623) 201-0084

Specialties & licenses 2

Addresses

Other names 1

• Beulah Health Care PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catherine Olubunmi Samuel-Ojo, N.P

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1588990394
  NPD Authorized official

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628467200000",
    "number": "1720752181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 N FARRELL CT STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331945",
            "telephone_number": "623-201-0084",
            "fax_number": "623-444-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 N FARRELL CT STE 109",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852331945",
            "telephone_number": "623-201-0084",
            "fax_number": "623-444-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH HEALTH CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-08",
        "status": "A",
        "authorized_official_last_name": "SAMUEL-OJO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "623-201-0084",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beulah Health Care PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• William Betz
• Cole Bewley, PA-C
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• Alexandra Kathryn Bezuyen, LMSW
• BFG Medical Group LLC
• Keata Bhakta, AGACNP, RN

• Home Health Agency in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Home Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.