Healthcare Provider Details

I. General information

NPI: 1073448684
Provider Name (Legal Business Name): BILLIE BECK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 MICHIGAN AVE APT 5
ASHTABULA OH
44004-3159
US

IV. Provider business mailing address

2316 MICHIGAN AVE APT 5
ASHTABULA OH
44004-3159
US

V. Phone/Fax

Practice location:
  • Phone: 440-812-3099
  • Fax:
Mailing address:
  • Phone: 440-812-3099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number602500240722
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: