Beacon Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEACON HEALTH CARE LLC

Practice address

28800 Van Dyke Ave
Ste 204
Warren, MI 48093-2747

Phone

(586) 582-1267

NPI assigned

Dec 12, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jane D Espere, RN

Title

Owner

Phone

(586) 582-1267

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260576000000",
    "number": "1750610218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28800 VAN DYKE AVE",
            "address_2": "STE 204",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932747",
            "telephone_number": "586-582-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28800 VAN DYKE AVE",
            "address_2": "STE 204",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480932747",
            "telephone_number": "586-582-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-12",
        "last_updated": "2009-12-12",
        "status": "A",
        "authorized_official_last_name": "ESPERE",
        "authorized_official_first_name": "MARY JANE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-582-1267",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2009; 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.