NPIMap

Organization Active NPI

Beacon Health Ventures, Inc.

  • In Home Supportive Care Agency
  • Goshen, IN
National Provider Identifier
1740635564
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEACON HEALTH VENTURES, INC.
Practice address
320 N Chicago Ave Ste 6
Goshen, IN 46528-2331
Phone
(574) 533-5627
Fax
(574) 535-0174
NPI assigned
Apr 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Authorized official

Name
Gregory M Conrad
Title
President
Phone
(574) 647-8777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X IN Primary

Addresses

Primary practice location

320 N Chicago Ave Ste 6
Goshen, IN 46528-2331

Mailing address

3355 Douglas Rd
Suite 100
South Bend, IN 46635-1781
Phone (574) 647-8731

Other names 1

  • Compassionate Caregivers Goshen Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Home Care Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

320 N Chicago Ave
Ste 6
Goshen, IN 46528
Phone (574) 533-5627

3355 Douglas Rd
Ste 100
South Bend, IN 46635
Phone (574) 273-2273

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488153600000",
    "number": "1740635564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 DOUGLAS RD",
            "address_2": "SUITE 100",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351781",
            "telephone_number": "574-647-8731",
            "fax_number": "574-647-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N CHICAGO AVE STE 6",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465282331",
            "telephone_number": "574-533-5627",
            "fax_number": "574-535-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2017-02-27",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-647-8777"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Caregivers Goshen",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goshen, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.