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NPI Code Detail

MEDICARE: BETA HOMES LLC

MEDICARE: BETA HOMES 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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1851275192
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETA HOMES LLC
Provider Business Mailing Address
First Line : 5771 THUNDER BAY ST
Second Line :
City : PORTAGE
State : MI
Zip : 49024-1133
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5771 THUNDER BAY ST
Second Line :
City : PORTAGE
State : MI
Zip : 49024-1133
Country : US
Telephone Number : 253-343-7030
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ANN NJOROGE
Credential :
Telephone Number : 253-343-7030
Provider Enumeration Date : 07/31/2025
Last Update Date : 07/31/2025

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Directions to “BETA HOMES LLC ” Practice Location

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