Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
163WH0200X | |||
Adult Companion |
372600000X | |||
Case Manager/Care Coordinator |
171M00000X | |||
Driver |
172A00000X | |||
Home Health |
364SH0200X | 89 | Certified Clinical Nurse Specialist | |
Home Health Aide |
374U00000X | |||
Licensed Practical Nurse |
164W00000X | |||
Licensed Vocational Nurse |
164X00000X | |||
Personal Care Attendant |
3747P1801X |
| NPI # | 1396617601 |
| LBN Legal business name | BEACON HOME CARE, LLC |
| Authorized official | LEE HYACINTHE - (ADMINISTRATOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 09/18/2025 |
| Last updated | 09/18/2025 - About 9 months ago |
| Identifiers | n/a |
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BEACON HOME CARE, LLC
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