MEDICARE: B & E HEALTH GROUP, LLC

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	:	1821023235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B & E HEALTH GROUP, LLC

Provider Business Mailing Address
First Line	:	3408 HALTOM RD
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-3112
Country	:	US
Telephone Number	:	817-222-3555
Fax Number	:	817-222-3556

Provider Business Practice Location Address
First Line	:	3408 HALTOM RD
Second Line	:
City	:	HALTOM CITY
State	:	TX
Zip	:	76117-3112
Country	:	US
Telephone Number	:	817-222-3555
Fax Number	:	817-222-3556

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. V ELAINE BLAKE
Credential	:	R.N.
Telephone Number	:	817-721-6353

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/22/2020

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