Garphard Beague

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

3247 Thorny Ridge Dr
Holiday, FL 34691-1554

Phone

(813) 406-3832

NPI assigned

Nov 25, 2020

Last updated

Nov 25, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Creative Lives Inc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • New Port Richey, FL
  • NPI 1063323111
  Authorized official Same address or phone
• Creatively Changing Lives Inc

  • Developmentally Disabled Services Day Training Agency
  • New Port Richey, FL
  • NPI 1750142667
  NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1831793223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5314 LINDER PL",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523734",
            "telephone_number": "813-406-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3247 THORNY RIDGE DR",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346911554",
            "telephone_number": "813-406-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAGUE",
        "first_name": "GARPHARD",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "818144",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Believe in Wellness Collective, LLC
• Believe in Wellness Collective, LLC (Believe in Wellness Collective)
• Jennifer Christine Bennett
• Peter Steven Bertuccio Jr.
• Best Value Healthcare LLC (MAXHealth Holiday)

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Holiday, FL
• Providers in Holiday, FL by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.