Beulah Home Health Agency Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BEULAH HOME HEALTH AGENCY INC

Practice address

3613 Rock Creek Dr
Tyler, TX 75707-1635

Phone

(903) 525-9037

Fax

(903) 525-9076

NPI assigned

Jun 7, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Vincent Udosen

Title

Pres

Phone

(903) 525-9037

Specialties & licenses 1

Addresses

Other identifiers 1

Listed as

Beulah Home Health Agency IncCCN 747788

Ownership

Proprietary

Certified

Mar 7, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Doris Udosen, NP

  • Acute Care Nurse Practitioner
  • Tyler, TX
  • NPI 1700369808
  NPD

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1942594940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 ROCK CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071635",
            "telephone_number": "903-525-9037",
            "fax_number": "903-525-9076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3613 ROCK CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757071635",
            "telephone_number": "903-525-9037",
            "fax_number": "903-525-9076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEULAH HOME HEALTH AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "UDOSEN",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "903-525-9037",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3368433",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Home Care LLC
• Better Living Management Inc
• Jerry J Bettinger, M.D.
• Floyd Galloway Betts III, O.D.
• Nikki Betts
• Roni M Bevans
• Karen Lynne Bever, R. PH.
• Amie Lee Bevis, NP
• Joy Louise Bevoni, LPC
• Divya Bhatia, DO

• Home Health Agency in Tyler, TX
• Providers in Tyler, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.