BEACON HEALTH VENTURES INC. NPI 1477970374

NPI Information

NPI: 1477970374
Provider Name: BEACON HEALTH VENTURES, INC.

Doing Business As: COMPASSIONATE CAREGIVERS - ELK

Classification: Respite Care - 385H00000X
Entity Type: Organization
Address:
3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635
Phone: (574) 273-2273
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BEACON HEALTH VENTURES, INC. is a respite care in South Bend, IN. The provider is definition to come. BEACON HEALTH VENTURES, INC. NPI is 1477970374. The provider is registered as an organization entity type.
The provider Is Doing Business As Compassionate Caregivers - Elk.

The provider's business location address is:

3355 DOUGLAS RD
SOUTH BEND, IN
ZIP 46635-781
Phone: (574) 273-2273

The provider's authorized official is Gregory M Conrad .
The authorized official title is President and has the following contact phone number (574) 647-8777.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 2/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	385H00000X	Respite Care		14-012264-1	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100263690D	OTHER	INDIANA	IHCP WAIVER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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