BEACON HEALTH VENTURES INC (NPI# 1225100787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225100787 |
| Entity Type | Organization |
| Organization Name | BEACON HEALTH VENTURES INC |
| Practice Address |
2602 South U.S. 35 Knox IN 46534 |
| Mailing Address |
3355 Douglas Road South Bend IN 46635-1780 |
| Practice Telephone | 5747724458 |
| Mailing Telephone | 5742732273 |
| Mailing Fax Number | 5742735602 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | GREGORY M CONRAD (PRESIDENT) |
| Authorized Official Telephone | 5746478777 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 69000136A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER | 000000097412 | 01 |
| IN | 200253800B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033473830 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 5155 Verdant Drive, Elkhart, IN 46516-3543 | 2012-06-27 |
| 1477816080 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 5155 Verdant St, Elkhart, IN 46516-9315 | 2012-06-19 |
| 1790859403 | Beacon Health Ventures Inc | Home Infusion | 3355 Douglas Road, Suite 100, South Bend, IN 46635-1780 | 2006-11-17 |
| 1992876627 | Beacon Health Ventures Inc | Durable Medical Equipment & Medical Supplies | 900 I St, La Porte, IN 46350-5533 | 2006-11-13 |
| Street Address |
2602 SOUTH U.S. 35 |
| City | KNOX |
| State | IN |
| Zip Code | 46534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304896 | Rocky Mountain Holdings, LLC | Ambulance | 1795 N 200 E, Knox, IN 46534 | 2017-09-08 |
| 1275918476 | Kimberly R Welsh | Social Worker | 2 S. Pearl Street, Knox, IN 46534 | 2015-07-29 |
| 1013300797 | Michelle Burbank | Social Worker | 1001 Edgewood Dr. Suite 1, Knox, IN 46534 | 2015-03-05 |
| 1649598392 | Dennis George Ogilvie | Dentist | 1191 A South Heaton, Knox, IN 46534 | 2010-05-05 |
| 1790827707 | Knox Community School Corporation | Local Education Agency (LEA) | #2 Redskin Trail, Knox, IN 46534 | 2007-02-13 |
| 1437184199 | Liberty Dialysis - Duneland LLC | Clinic/Center | 1008 Edgewood Drive, Knox, IN 46534 | 2006-07-11 |
| 1881634566 | Elizabeth A Wetzel | Family Medicine | 2 S Pearl St, Knox, IN 46534 | 2006-06-08 |
| 1386602910 | Cameron R Gilbert | Psychologist | 1901 S Heaton St, Knox, IN 46534 | 2006-05-03 |
| 1801063268 | Healthlinc, Inc | Clinic/Center | 104 E Culver Rd, Suite 106, Knox, IN 46534 | 2008-05-14 |
| 1841364429 | Gregory J. Wittig | Dentist | 1800 S. U.S. 35, Knox, IN 46534-0152 | 2006-11-17 |
| Find all providers in zip 46534 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508229220 | Med Ease Inc | Durable Medical Equipment & Medical Supplies | 2 S Pearl St, Knox, IN 46534-1416 | 2016-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364176 | Jace Medical LLC | Durable Medical Equipment & Medical Supplies | 3516 Commerce Dr, Warsaw, IN 46580-3925 | 2020-10-23 |
| 1760081525 | After Action Medical and Dental Supply, LLC | Durable Medical Equipment & Medical Supplies | 4444 Decatur Blvd., Suite 100, Indianapolis, IN 46241 | 2020-10-22 |
| 1588263628 | Riyff LLC | Durable Medical Equipment & Medical Supplies | 162 W Carmel Dr, Carmel, IN 46032-2526 | 2020-10-20 |
| 1487261897 | J & Y Medical LLC | Durable Medical Equipment & Medical Supplies | 227 E Dupont Rd, Fort Wayne, IN 46825-2047 | 2020-09-29 |
| 1245844000 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1441 E 84th Pl Rm 120, Merrillville, IN 46410-6578 | 2020-08-31 |
| 1598376485 | The South Bend Clinic LLP | Durable Medical Equipment & Medical Supplies | 6301 University Commons Ste 100, South Bend, IN 46635-1571 | 2020-08-13 |
| 1427676634 | Undranita Gilbert | Durable Medical Equipment & Medical Supplies | 12077 Stern Dr, Indianapolis, IN 46256-9442 | 2020-07-14 |
| 1487272142 | Perennial Health LLC | Durable Medical Equipment & Medical Supplies | 15736 Viking Commander Way, Westfield, IN 46074-7742 | 2020-07-09 |
| 1710503693 | Diabetic Equipment and Supplies LLC | Durable Medical Equipment & Medical Supplies | 3905 Vincennes Rd Ste 405, Indianapolis, IN 46268-3026 | 2020-06-17 |
| 1275158198 | Jennmike Inc. | Durable Medical Equipment & Medical Supplies | 525 N Green River Rd, Evansville, IN 47715-2472 | 2020-06-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.