Beulah Home Services, Inc

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R3186P Issued in MD

Legal business name

BEULAH HOME SERVICES, INC

Practice address

1407 Caitlin Court
Silver Spring, MD 20904

Phone

(301) 502-6011

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Patience Akpotirih Erhiawarien, MHA

Title

Administrator

Phone

(301) 502-6011

Specialties & licenses 4

Addresses

Other names 1

• Beulah Home Services, Inc Former legal business name

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1861750648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 CAITLIN COURT",
            "city": "SILVER SPRINGS",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-502-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 CAITLIN COURT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "20904",
            "telephone_number": "301-502-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH HOME SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "ERHIAWARIEN",
        "authorized_official_first_name": "PATIENCE",
        "authorized_official_middle_name": "AKPOTIRIH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-502-6011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R3186P",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "MD",
            "license": "R3186P",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "R3186P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beulah Home Services, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Registered Nurse in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.