MEDICARE: MS BEAS SUPPORTIVE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	174200000X	Meals Provider
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	253Z00000X	In Home Supportive Care Agency
4	332U00000X	Home Delivered Meals
5	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528573557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MS BEAS SUPPORTIVE SERVICES

Provider Business Mailing Address
First Line	:	558 NE 23RD CIR APT 2
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-9262
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	558 NE 23RD CIR APT 2
Second Line	:
City	:	OCALA
State	:	FL
Zip	:	34470-9262
Country	:	US
Telephone Number	:	352-361-7232
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHERRELLE KING
Credential	:
Telephone Number	:	352-361-7232

Provider Enumeration Date	:	12/13/2017
Last Update Date	:	12/09/2025

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Directions to “MS BEAS SUPPORTIVE SERVICES ” Practice Location

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