Provider Demographics
NPI:1184868234
Name:BE AT HOME, INC.
Entity Type:Organization
Organization Name:BE AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-628-1963
Mailing Address - Street 1:3544 LINCOLN AVE STE 2W
Mailing Address - Street 2:
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-4036
Mailing Address - Country:US
Mailing Address - Phone:801-628-1963
Mailing Address - Fax:678-826-4272
Practice Address - Street 1:3544 LINCOLN AVE STE 2W
Practice Address - Street 2:
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-4036
Practice Address - Country:US
Practice Address - Phone:801-628-1963
Practice Address - Fax:678-826-4272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2007-HHA-75936253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care