MEDICARE: BEACON HEALTH CARE, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740339530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEACON HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	PO BOX 28478
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-0478
Country	:	US
Telephone Number	:	614-276-4270
Fax Number	:	614-485-9175

Provider Business Practice Location Address
First Line	:	980 SAVANNAH DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43228-3506
Country	:	US
Telephone Number	:	614-276-4270
Fax Number	:	614-276-4275

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	KELLY JENISE CURRY WHITE
Credential	:	RN
Telephone Number	:	614-276-4270

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	06/30/2014

Similar Medicare Providers

1124154745 — SURGEONS CHOICE FIRST ASSISTING INC
Practice Location Address:

893 MENDES CT
COLUMBUS, OH
43235-3506

Practice Phone: 614-824-5200
Practice Fax: 888-329-6432

1366578981 — KATHLEEN DIEDALIS CST/CSFA
Practice Location Address:

893 MENDES CT
COLUMBUS, OH
43235-3506

Practice Phone: 614-824-5200
Practice Fax: 888-329-6432

1598979221 — SHANNON M HARDEGREE
Practice Location Address:

705 17TH ST STE 208
COLUMBUS, GA
31901-3506

Practice Phone: 706-327-0189
Practice Fax:

1699934273 — MS. LORRAINE GASTON LSW
Practice Location Address:

717 S COLUMBUS BLVD , UNIT 819
PHILADELPHIA, PA
19147-3506

Practice Phone: 215-964-9181
Practice Fax:

1427469154 — DIRECTION HOME LLC
Practice Location Address:

88 E BROAD ST , STE 870
COLUMBUS, OH
43215-3506

Practice Phone: 614-481-3511
Practice Fax: 614-481-3566

1760882732 — JOHN WISE PT, MAT, LMT
Practice Location Address:

112 E 4TH AVE
COLUMBUS, OH
43201-3506

Practice Phone: 614-395-9369
Practice Fax:

Directions to “BEACON HEALTH CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.