MEDICARE: BEEKAYLIMITED COMPANY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1609191642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEEKAYLIMITED COMPANY

Provider Business Mailing Address
First Line	:	4006 SPRING FOREST DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9005
Country	:	US
Telephone Number	:	281-785-8709
Fax Number	:

Provider Business Practice Location Address
First Line	:	4006 SPRING FOREST DR
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-9005
Country	:	US
Telephone Number	:	281-785-8709
Fax Number	:

Authorized Official
Title or Position	:	PROGRAM DIRECTOR
Name	:	BOLANLE WENDY BIAKPARA
Credential	:
Telephone Number	:	281-785-8709

Provider Enumeration Date	:	04/01/2010
Last Update Date	:	04/01/2010

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