Provider Demographics
NPI:1467423996
Name:BEYAMAR HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:BEYAMAR HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:H
Authorized Official - Last Name:GARZA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-631-1408
Mailing Address - Street 1:4901 SOUTH MCCOLL
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3118
Mailing Address - Country:US
Mailing Address - Phone:956-631-1408
Mailing Address - Fax:956-631-7222
Practice Address - Street 1:4901 SOUTH MCCOLL
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-3118
Practice Address - Country:US
Practice Address - Phone:956-631-1408
Practice Address - Fax:956-631-7222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-01
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007714251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX151394701Medicaid
TX679127Medicare ID - Type UnspecifiedPROVIDER NUMBER