New Beacon Hospice Indiana, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

NEW BEACON HOSPICE INDIANA, LLC

Doing business as

New Beacon Bloomington

Practice address

100 N Curry Pike Ste 2
Bloomington, IN 47404-2593

Phone

(812) 558-0811

Fax

(812) 558-5110

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Jessica L Kleberg

Title

SVP of Legal Affairs

Phone

(704) 664-2876

Specialties & licenses 1

Addresses

Other names 1

• New Beacon Bloomington Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Fairfax, VA
  • NPI 1447959762

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1790204907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 BRAWLEY SCHOOL RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281179601",
            "telephone_number": "704-664-2876",
            "fax_number": "704-664-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CURRY PIKE STE 2",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474042593",
            "telephone_number": "812-558-0811",
            "fax_number": "812-558-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW BEACON HOSPICE INDIANA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "KLEBERG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SVP OF LEGAL AFFAIRS",
        "authorized_official_telephone_number": "704-664-2876"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Beacon Bloomington",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shashanka Nethi, M.B.B.S.
• Skyler Neuhaus, LSW
• Neurology Specialists, PC
• Neurosurgical Clinic of Bloomington Inc P.C.
• Jessica Nevitt, M.S., CHES
• New Outlook Counseling Center Inc
• New Outlook Counseling Center Inc
• Ellyn New
• Brechin Marie Newby, MD
• Sarah Michele Newcomer, RPH

• Community Based Hospice Care Agency in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Community Based Hospice Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.