Provider Demographics
NPI:1164286712
Name:BEGO ENTERPRISE, LLC
Entity Type:Organization
Organization Name:BEGO ENTERPRISE, LLC
Other - Org Name:TRANSFORMATION HEALTH, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:JERMAINE
Authorized Official - Last Name:BEGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-256-8056
Mailing Address - Street 1:2709 KEITH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1633
Mailing Address - Country:US
Mailing Address - Phone:202-256-8056
Mailing Address - Fax:202-256-8056
Practice Address - Street 1:4710 AUTH PL STE 230
Practice Address - Street 2:
Practice Address - City:CAMP SPRINGS
Practice Address - State:MD
Practice Address - Zip Code:20746-4223
Practice Address - Country:US
Practice Address - Phone:202-256-8056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health