Beacon in-Home Care, Inc.

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

HC2357 Issued in NC

Legal business name

BEACON IN-HOME CARE, INC.

Practice address

110 Cross Street
Rutherford Collegel, NC 28671-0401

Phone

(828) 879-8217

Fax

(828) 874-1577

NPI assigned

Nov 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

President

Phone

(828) 879-8217

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Beacon Inhome Care, Inc.

  • Public Health or Welfare Agency
  • Rutherford College, NC
  • NPI 1821123100
  NPD tax ID

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861560849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CROSS STREET",
            "city": "RUTHERFORD COLLEGEL",
            "state": "NC",
            "postal_code": "286710401",
            "telephone_number": "828-879-8217",
            "fax_number": "828-874-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON IN-HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "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": "PRESIDENT",
        "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": "3408251",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 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.