Beloved Care Corporation

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

BELOVED CARE CORPORATION

Practice address

1119 Church St SE Ste B
Covington, GA 30014-2318

Phone

(770) 788-1739

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Jermaine Ladyrell Walker

Title

President

Phone

(404) 775-0949

Specialties & licenses 3

Addresses

Other names 1

• Visiting Angels Doing business as

Locations

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1861994295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2466 QUENTIN DR",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365255",
            "telephone_number": "404-775-0949",
            "fax_number": "770-788-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1119 CHURCH ST SE STE B",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142318",
            "telephone_number": "770-788-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELOVED CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "LADYRELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-775-0949"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "107-R-1176",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "107-R-1176",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visiting Angels",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelleyann Beaubrun, PMHNP
• Fuquan Carl Beeks
• Bef Insurance Solutions LLC
• Keith Everett Bell
• Quindarius Bell
• Jessie L Bender, D.O.
• Brittany Bennett
• Nyisha Bennett, RN
• Barbara Daniel Bentley
• Joyce B Benton

• Home Health Aide in Covington, GA
• Providers in Covington, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.