Provider Demographics
NPI:1629789896
Name:BEAMISH HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:BEAMISH HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOTH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-212-4437
Mailing Address - Street 1:8300 FM 1960 WEST SUITE 450
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5699
Mailing Address - Country:US
Mailing Address - Phone:346-363-7696
Mailing Address - Fax:832-688-9527
Practice Address - Street 1:8300 FM 1960 WEST SUITE 450
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5699
Practice Address - Country:US
Practice Address - Phone:346-363-7696
Practice Address - Fax:832-688-9527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-08
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty