Beverly Healthcare, Llc in Fort Wayne - Skilled Nursing Facility
Beverly Healthcare, Llc - NPI 1366498727
Beverly Healthcare, Llc is a Skilled Nursing Facility in Fort Wayne, Indiana. Beverly Healthcare, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Beverly Healthcare, Llc is 1366498727. The last update date is 2007-10-15.
Beverly Healthcare, Llc's current location address is 2940 N Clinton St, Fort Wayne, Indiana. You can contact this provider via phone number 2604840602. The mailing address for Beverly Healthcare, Llc is 2940 N Clinton St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beverly Healthcare, Llc |
|---|---|
| Address | 2940 N Clinton St, Fort Wayne, Indiana |
| Phone Number | 2604840602 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Merrell G David |
| Telephone Number | 4792014840 |
NPI Number Detail
| NPI Number | 1366498727 |
|---|---|
| Provider Enumeration Date | 2006-05-26 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 2940 N Clinton St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468051910 |
| Phone Number | 2604840602 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
|
Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 98372 | IN | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Beverly Healthcare, Llc by the Centers for Medicare & Medicaid Services?
The Beverly Healthcare, Llc has been issued the NPI (National Provider Identifier) 1366498727, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Beverly Healthcare, Llc's facilities are geographically located?
The facilities of Beverly Healthcare, Llc are physically situated at the following location: 2940 N Clinton St, Fort Wayne, IN, 468051910.
What is Beverly Healthcare, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Beverly Healthcare, Llc is Skilled Nursing Facility, and the taxonomy code that categorizes this field of expertise is 314000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1366498727 to Beverly Healthcare, Llc?
The Beverly Healthcare, Llc received its 1366498727 assignment from the Centers for Medicare & Medicaid Services on 2006-05-26.
As of what date was the information pertaining to Beverly Healthcare, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Beverly Healthcare, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-10-15.
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