Organization Active NPI

Beacon Inhome Care, Inc.

  • Public Health or Welfare Agency
  • Rutherford College, NC
National Provider Identifier
1821123100
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
HC2357 Issued in NC
Legal business name
BEACON INHOME CARE, INC.
Practice address
110 Cross Street
Rutherford College, NC 28671-0401
Phone
(828) 879-8217
Fax
(828) 874-1577
NPI assigned
Feb 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lucie Coats Cannon, RN
Title
Ownerpresident
Phone
(828) 879-8217

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X HC2357 NC Primary

Addresses

Primary practice location

110 Cross Street
Rutherford College, NC 28671-0401

Mailing address

PO Box 401
110 Cross Street
Rutherford College, NC 28671-0401
Phone (828) 879-8217

Other identifiers 1

IdentifierTypeStateIssuer
6601231MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Beacon in-Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821123100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "address_2": "110 CROSS STREET",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710401",
            "telephone_number": "828-879-8217",
            "fax_number": "828-874-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CROSS STREET",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710401",
            "telephone_number": "828-879-8217",
            "fax_number": "828-874-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON INHOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "LUCIE",
        "authorized_official_middle_name": "COATS",
        "authorized_official_title_or_position": "OWNERPRESIDENT",
        "authorized_official_telephone_number": "828-879-8217",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NC",
            "license": "HC2357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601231",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford College, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.