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General NPI Number Information
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NPI Number | 1396617601
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Entity Type | Organization
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Legal Business Name | BEACON HOME CARE, LLC
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 3882 CENTRAL SARASOTA PKWY
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City | SARASOTA
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State | FL
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Zip | 34238-3046
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Country | US
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Telephone | 941-282-7965
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Fax |
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Provider Business Mailing Address
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Address Line | 3882 CENTRAL SARASOTA PKWY
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City | SARASOTA
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State | FL
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Zip | 34238-3046
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Country | US
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Telephone | 941-282-7965
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LEE HYACINTHE
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Credential |
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Telephone | 941-282-7965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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