Healthcare Provider Details

I. General information

NPI: 1538668686
Provider Name (Legal Business Name): BEEGHLY NURSING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2018
Last Update Date: 03/17/2025
Certification Date: 03/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6505 MARKET ST BLDG D
BOARDMAN OH
44512-3459
US

IV. Provider business mailing address

188 BENJAMIN ST
TOMS RIVER NJ
08755-1198
US

V. Phone/Fax

Practice location:
  • Phone: 330-884-2300
  • Fax: 330-884-2300
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH FRIEDMAN
Title or Position: MANAGING MEMBER
Credential:
Phone: 330-884-2300