Active NPI
Beatrice E Hall
- Community/Behavioral Health Agency
- Jacksonville, FL
National Provider Identifier
1902182447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 5838 Soutel Dr.
Jacksonville, FL 32219 - Phone
- (904) 465-5471
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CNA 248500 | FL | |
| Community/Behavioral Health Agency | 251S00000X | FL | Primary | |
| Technician | 374700000X | FB 9721679 | FL |
Addresses
Primary practice location
5838 Soutel Dr.
Jacksonville, FL 32219
Mailing address
5838 Soutel Dr.
Jacksonville, FL 32219-3738
Phone (904) 465-5471
Other practice location 1
5510 Mariners Cove Dr
Jacksonville, FL 32210-5779
Phone (904) 465-5471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FB 9721679 | FL | MD | Technician |
| CNA 248500 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B.E.H. Elderly Care LLC | Community/Behavioral Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Jacksonville, FL
- NPI 1598282667
Community/Behavioral Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527811200000",
"number": "1902182447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5838 SOUTEL DR.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322193738",
"telephone_number": "904-465-5471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5838 SOUTEL DR.",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32219",
"telephone_number": "904-465-5471"
}
],
"practiceLocations": [
{
"address_1": "5510 Mariners Cove Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322105779",
"country_code": "US",
"telephone_number": "904-465-5471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALL",
"first_name": "BEATRICE",
"middle_name": "E",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2018-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA 248500",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": null,
"primary": true
},
{
"code": "374700000X",
"taxonomy_group": "",
"desc": "Technician",
"state": "FL",
"license": "FB 9721679",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.