BEACH HAVEN HOME CARE LLC (NPI# 1932730744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932730744 |
Entity Type | Organization |
Organization Name | BEACH HAVEN HOME CARE LLC |
Practice Address |
4717 N Croatan Hwy Ste A Kitty Hawk NC 27949-8906 |
Mailing Address |
Po Box 1227 Sparta NC 28675-1227 |
Practice Telephone | 2523403150 |
Enumeration Date | 2020-01-30 |
Last Update Date | 2020-01-30 |
Authorized Official Name | BRENDA WYMER (CEO) |
Authorized Official Telephone | 3365720040 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251J00000X | Nursing Care | Agencies | ||
Y | 253Z00000X | In Home Supportive Care | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | HC1936 | 05 |
Street Address |
4717 N CROATAN HWY STE A |
City | KITTY HAWK |
State | NC |
Zip Code | 27949-8906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194294207 | Jamie Lee Haidinger | Social Worker | 105 Trinitie Dr, Duck, NC 27949 | 2018-11-19 |
1831611649 | Bmsc Nc LLC | Social Worker | 150 Olde Duck Rd, Kitty Hawk, NC 27949 | 2017-07-13 |
1942587332 | Coastal Family Medicine and Wellness Center,pllc | Family Medicine | 5200 North Croatan Highway, Suite 7, Kitty Hawk, NC 27949 | 2011-11-14 |
1326360371 | The Wellness Center of The Outer Banks Inc | Chiropractor | 3723 N. Croatan Hwy, Unit G, Kitty Hawk, NC 27949 | 2010-02-18 |
1467623900 | Albemarle Eye Center, Pllc | Optometrist | 3524 N Croatan Hwy, Kitty Hawk, NC 27949 | 2008-03-12 |
1982761854 | Donald E Lovis | Physical Therapist | 5567 N Croatan Highway, Kitty Hawk, NC 27949 | 2007-01-02 |
1639247349 | Donna Epley Trivette | Speech-Language Pathologist | 113 Light Keepers Way, Kitty Hawk, NC 27949 | 2006-12-01 |
1710062815 | Ken J Tompkins Md PC | Dermatology | 5565 Croatan Highway, Kitty Hawk, NC 27949 | 2006-10-26 |
1063420420 | Amy Marie Dougherty | Physical Therapist | 102 Pinnacle Ct, Kitty Hawk, NC 27949 | 2006-08-03 |
1760683163 | Christine Bowers Hutto | Nurse Practitioner | 5200 N Croatan Hwy, Beach Medical Care, Kitty Hawk, NC 27949 | 2007-05-31 |
Find all providers in zip 27949 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
1043819972 | Natasha Lavinya Morgan | In Home Supportive Care | 915 First Tee Dr, High Point, NC 27263-2388 | 2020-10-21 |
1629677851 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1415 W Nc Highway 54 Ste 209, Durham, NC 27707-5597 | 2020-10-19 |
1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
1588261549 | Alliance Group 1 Home Care LLC | In Home Supportive Care | 244 Audubon Dr, Raeford, NC 28376-7269 | 2020-10-02 |
1598362741 | Quality Care Health Services Inc. | In Home Supportive Care | 301 S Church St Ste 168, Rocky Mount, NC 27804-5748 | 2020-10-01 |
Find all providers with the same taxonomy |
City | KITTY HAWK |
Zip Code | 27949 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.