Healthcare Provider Details

I. General information

NPI: 1851275192
Provider Name (Legal Business Name): BETA HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5771 THUNDER BAY ST
PORTAGE MI
49024-1133
US

IV. Provider business mailing address

5771 THUNDER BAY ST
PORTAGE MI
49024-1133
US

V. Phone/Fax

Practice location:
  • Phone: 253-343-7030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ANN NJOROGE
Title or Position: OWNER
Credential:
Phone: 253-343-7030