Beeton Provider Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

2507540 Issued in OH

Legal business name

BEETON PROVIDER SERVICES, INC.

Practice address

1566 W 1St Ave
Grandview, OH 43212-3346

Phone

(614) 529-6562

Fax

(614) 559-6619

NPI assigned

Jul 29, 2016

Last updated

Jul 29, 2016By 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

Mr. Steve Hamm, MBA

Title

Administrator

Phone

(614) 529-6562

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1861945511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1566 W 1ST AVE",
            "city": "GRANDVIEW",
            "state": "OH",
            "postal_code": "432123346",
            "telephone_number": "614-529-6562",
            "fax_number": "614-559-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1566 W 1ST AVE",
            "city": "GRANDVIEW",
            "state": "OH",
            "postal_code": "432123346",
            "telephone_number": "614-529-6562",
            "fax_number": "614-559-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEETON PROVIDER SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "HAMM",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-529-6562",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "OH",
            "license": "2507540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0187033",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Destine' C. Allen, LPC
• Inessa Bertman-Zats, D.D.S.
• Alora Bharmota, LPC
• David Biederman, FNP
• Shannon Marie Bradshaw
• Joshua Timothy Bryant, D.O.

• In Home Supportive Care Agency in Grandview, OH
• Providers in Grandview, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.