Healthcare Provider Details

I. General information

NPI: 1861985202
Provider Name (Legal Business Name): BETH HARVEY MHRS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETH EYRE

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 DAVIS ST STE 300
SAN LEANDRO CA
94577-6923
US

IV. Provider business mailing address

2749 PLEASANT ST
OAKLAND CA
94602-2808
US

V. Phone/Fax

Practice location:
  • Phone: 510-746-2800
  • Fax:
Mailing address:
  • Phone: 510-295-8266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: