MEDICARE: BEEBE RETIREMENT CENTER, INC.

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	314000000X	Skilled Nursing Facility	668	AR

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	:	1710973086
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEEBE RETIREMENT CENTER, INC.

Provider Business Mailing Address
First Line	:	709 MCAFEE LN
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-8000
Country	:	US
Telephone Number	:	501-882-3313
Fax Number	:	501-882-5739

Provider Business Practice Location Address
First Line	:	709 MCAFEE LN
Second Line	:
City	:	BEEBE
State	:	AR
Zip	:	72012-8000
Country	:	US
Telephone Number	:	501-882-3313
Fax Number	:	501-882-5739

Authorized Official
Title or Position	:	PRESIDENT
Name	:	A BRANDON ADAMS
Credential	:
Telephone Number	:	501-932-0050

Provider Enumeration Date	:	09/22/2005
Last Update Date	:	04/30/2021

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