MEDICARE: BETA HEALTH INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1093912347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BETA HEALTH INC.

Provider Business Mailing Address
First Line	:	3505 E LIVINGSTON AVE
Second Line	:	SUITE D
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-235-9442
Fax Number	:

Provider Business Practice Location Address
First Line	:	3505 E LIVINGSTON AVE
Second Line	:	SUITE D
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2220
Country	:	US
Telephone Number	:	614-235-9442
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ELLIS EHIZELE OPUSUNJU
Credential	:
Telephone Number	:	614-235-9442

Provider Enumeration Date	:	06/29/2007
Last Update Date	:	02/26/2008

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