Provider Type Icon

NEW BEACON HEALTHCARE GROUP LLC NPI 1588693550


NPI Information

NPI: 1588693550
Provider Name: NEW BEACON HEALTHCARE GROUP, LLC

Doing Business As: NEW BEACON OF SCOTTSBORO

Classification: Registered Nurse - 163WH1000X
Entity Type: Organization

Specialization: Hospice

CLIA Number: 01D2055915

Address:
1602 S BROAD ST
SCOTTSBORO, AL
ZIP 35768
Phone: (256) 574-4622
Get Directions

NEW BEACON HEALTHCARE GROUP, LLC is a hospice registered nurse in Scottsboro, AL. NEW BEACON HEALTHCARE GROUP, LLC NPI is 1588693550. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As New Beacon Of Scottsboro.

The provider's business location address is:

1602 S BROAD ST
SCOTTSBORO, AL
ZIP 35768-611
Phone: (256) 574-4622

The provider's authorized official is Jessica Kleberg .
The authorized official title is Vp Of Legal Affairs and has the following contact phone number (704) 664-2876.

The CLIA number assigned to this NPI record is 01D2055915 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 5/16/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163WH1000XRegistered NurseHospiceYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PIC1512EMEDICAIDALABAMA
2011512MEDICARE OSCAR/CERTIFICATIONALABAMA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.