Beacon Health Ventures Inc in South Bend - Home Infusion Therapy Pharmacy
Beacon Health Ventures Inc - NPI 1790859403
Beacon Health Ventures Inc is a Home Infusion Therapy Pharmacy in South Bend, Indiana. Beacon Health Ventures Inc practices all healthcare services and medical treatments related to Home Infusion Therapy Pharmacy. The NPI Number for Beacon Health Ventures Inc is 1790859403. The last update date is 2021-12-14.
Beacon Health Ventures Inc's current location address is 3355 Douglas Rd, South Bend, Indiana. You can contact this provider via phone number 5746478675 and fax number 5746478764. The mailing address for Beacon Health Ventures Inc is 3355 Douglas Rd, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beacon Health Ventures Inc |
|---|---|
| Address | 3355 Douglas Rd, South Bend, Indiana |
| Phone Number | 5746478675 |
| Fax Number | 5746478764 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Wait K Trudy |
| Telephone Number | 5746478674 |
NPI Number Detail
| NPI Number | 1790859403 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 3355 Douglas Rd |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466351779 |
| Phone Number | 5746478675 |
| Fax Number | 5746478764 |
Provider's Primary Taxonomy Detail
| Speciality | Home Infusion Therapy Pharmacy |
|---|---|
| Taxonomy | 3336H0001X |
|
Definition: Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| M300042869 | IN | MEDICARE PART B/IMMUNIZATIONS | |
| 107793 | IN | ANTHEM | |
| 100263690A | IN | WAIVER | |
| 100301140A | IN | -- | |
| 97412 | IN | ANTHEM PROVIDER |
Post Comment/ Review Below
What is the unique identifier code issued to Beacon Health Ventures Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Beacon Health Ventures Inc has been assigned the NPI (National Provider Identifier) 1790859403. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Beacon Health Ventures Inc?
The Beacon Health Ventures Inc is situated at 3355 Douglas Rd, in the city of South Bend, state of IN, with the zip code 466351779.
What is the Beacon Health Ventures Inc's area of specialization and corresponding taxonomy classification?
The Beacon Health Ventures Inc's specialty field is Home Infusion Therapy Pharmacy, and it falls under the taxonomy code 3336H0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790859403 to Beacon Health Ventures Inc?
The Centers for Medicare & Medicaid Services originally issued the 1790859403 to Beacon Health Ventures Inc on 2006-11-17.
When was the information related to Beacon Health Ventures Inc most recently updated or refreshed?
The details pertaining to the Beacon Health Ventures Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-12-14.
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