Provider Demographics
NPI:1710286745
Name:BECK HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:BECK HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OKAFOR
Authorized Official - Middle Name:E
Authorized Official - Last Name:MABATAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-577-1497
Mailing Address - Street 1:5310 EAST MAIN STREET
Mailing Address - Street 2:SUITE 206
Mailing Address - City:WHITEHALL
Mailing Address - State:OH
Mailing Address - Zip Code:43213
Mailing Address - Country:US
Mailing Address - Phone:614-577-1497
Mailing Address - Fax:614-577-1524
Practice Address - Street 1:5310 E MAIN ST
Practice Address - Street 2:SUITE 206
Practice Address - City:WHITEHALL
Practice Address - State:OH
Practice Address - Zip Code:43213-2598
Practice Address - Country:US
Practice Address - Phone:614-577-1497
Practice Address - Fax:614-577-1524
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-16
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health