Beacon Eldercare, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1476L001 Issued in NY

Legal business name

BEACON ELDERCARE, INC

Practice address

6906 Grand Ave
Second Floor
Maspeth, NY 11378-1813

Phone

(718) 406-9500

Fax

(866) 651-3635

NPI assigned

Dec 11, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Drop

Title

President

Phone

(516) 775-8278

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1292025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292025600000",
    "number": "1992008015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HUDSON RD",
            "city": "BELLEROSE VILLAGE",
            "state": "NY",
            "postal_code": "110014104",
            "telephone_number": "516-775-8278",
            "fax_number": "866-651-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6906 GRAND AVE",
            "address_2": "SECOND FLOOR",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781813",
            "telephone_number": "718-406-9500",
            "fax_number": "866-651-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON ELDERCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-11",
        "last_updated": "2010-12-11",
        "status": "A",
        "authorized_official_last_name": "DROP",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-775-8278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1476L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
            "identifier": "1476L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Maspeth, NY
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2010; 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.