Organization Active NPI

Beacon Home Health Agency, LLC

  • Home Health Agency
  • Stafford, TX
National Provider Identifier
1972559482
Registry record updated Jul 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009564 Issued in TX
Legal business name
BEACON HOME HEALTH AGENCY, LLC
Practice address
13004 Murphy Rd
Ste 206
Stafford, TX 77477-3961
Phone
(713) 592-6428
Fax
(713) 592-6467
NPI assigned
May 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2022

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

Authorized official

Name
Mrs. Lora L Mayes, RN
Title
Ceo
Phone
(713) 592-6428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009564 TX Primary

Addresses

Primary practice location

13004 Murphy Rd
Ste 206
Stafford, TX 77477-3961

Mailing address

PO Box 1428
Stafford, TX 77497-1428
Phone (713) 592-6428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050128000757 TX Part A Provider - Home Health Agency 0547210312 Practice locations: Stafford, TX

Home health agency certification: CCN 457950

Legal name
BEACON HOME HEALTH AGENCY, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2005
Last certification
Apr 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 21, 2004 in TX
Enrollment address
13004 Murphy Rd
Ste 206
Stafford, TX 77477-3961
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Beacon Home Health Agency LLCCCN 457950
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 6, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1028759Beacon Home Health Agency, LLC13004 Murphy Rd Ste 206, Stafford, TX 77477Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

2656 S Loop W
Ste 450
Houston, TX 77054
Phone (713) 592-6428

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lora L. Mayes Individual 5% Or Greater Direct Ownership InterestCeo Jun 21, 2004 100%
Ricky Mayes Individual W-2 Managing Employee Nov 23, 2004

Practitioners & affiliated clinicians

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657843200000",
    "number": "1972559482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1428",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774971428",
            "telephone_number": "713-592-6428",
            "fax_number": "713-592-6467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13004 MURPHY RD",
            "address_2": "STE 206",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774773961",
            "telephone_number": "713-592-6428",
            "fax_number": "713-592-6467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON HOME HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A",
        "authorized_official_last_name": "MAYES",
        "authorized_official_first_name": "LORA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-592-6428",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stafford, TX

Sources for this page

Verify at the official NPI Registry.