Provider Demographics
NPI:1740008606
Name:BEACON CARE, INC.
Entity type:Organization
Organization Name:BEACON CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FRANCHISEE
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-557-4600
Mailing Address - Street 1:6 BEACON ST STE 525
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02108-3833
Mailing Address - Country:US
Mailing Address - Phone:617-557-4600
Mailing Address - Fax:
Practice Address - Street 1:6 BEACON ST STE 525
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02108-3833
Practice Address - Country:US
Practice Address - Phone:617-557-4600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:-
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health