Provider Demographics
NPI:1295892503
Name:BEACON HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:BEACON HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NINA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-833-0430
Mailing Address - Street 1:710 DENBIGH BLVD
Mailing Address - Street 2:SUITE 7-A
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-4427
Mailing Address - Country:US
Mailing Address - Phone:757-833-0430
Mailing Address - Fax:757-833-0436
Practice Address - Street 1:710 DENBIGH BLVD
Practice Address - Street 2:SUITE 7-A
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-4427
Practice Address - Country:US
Practice Address - Phone:757-833-0430
Practice Address - Fax:757-833-0436
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health