Provider Demographics
NPI:1518493774
Name:BEA'S HIVE ASSISTED LIVING
Entity Type:Organization
Organization Name:BEA'S HIVE ASSISTED LIVING
Other - Org Name:N/A
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CRNP
Authorized Official - Prefix:
Authorized Official - First Name:OLABIMPE
Authorized Official - Middle Name:OMOBOWALE
Authorized Official - Last Name:OLOJO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-565-7718
Mailing Address - Street 1:3014 NIGHTSIDE DRIVE
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3014 NIGHTSIDE DRIVE
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774
Practice Address - Country:US
Practice Address - Phone:240-565-7718
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR203610314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility