BEACHSIDE HOME SERVICE, LLC (NPI# 1477101301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477101301 |
| Entity Type | Organization |
| Organization Name | BEACHSIDE HOME SERVICE, LLC |
| Practice Address |
101 E Market St Ste 2c Smithfield NC 27577-3980 |
| Practice Telephone | 9199388112 |
| Mailing Telephone | 9199388112 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Authorized Official Name | AMY ARTIS (PRESIDENT) |
| Authorized Official Telephone | 8435088115 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 347C00000X | Private Vehicle | Transportation Services | ||
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| Other Name | Type Code |
|---|---|
| Beachside Home Service | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184162950 | Beachside Home Service, LLC | In Home Supportive Care | 4939 Highway 17 Byp S, Myrtle Beach, SC 29577-6617 | 2017-02-01 |
| Street Address |
101 E MARKET ST STE 2C |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577-3980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760162 | Comfort Caring Home Health LLC | In Home Supportive Care | 511 S Brightleaf Blvd, Smithfield, NC 27577-4076 | 2020-08-14 |
| 1750912739 | Bhw, LLC | In Home Supportive Care | 718 Martin Luther King Jr Dr, Smithfield, NC 27577-5334 | 2020-01-29 |
| 1942705843 | Edith D Porter | In Home Supportive Care | 145 Clear Water Dr, Smithfield, NC 27577-9329 | 2018-03-24 |
| 1578923140 | Peace At Home In-home Care LLC | In Home Supportive Care | 1485 Moonlight Rd, Smithfield, VA 23430-1963 | 2016-02-25 |
| 1346616000 | Merchant Health Systems, Inc. | In Home Supportive Care | 1342 N Brightleaf Blvd Ste B, Smithfield, NC 27577-7388 | 2015-08-18 |
| 1154729705 | Americare Plus, LLC. | In Home Supportive Care | 938 D South Church Street, Smithfield, VA 23430 | 2014-12-15 |
| 1457505992 | Aggie Home Care, Inc. | In Home Supportive Care | 25 Main St Ste 7, Smithfield, PA 15478-8943 | 2008-11-11 |
| 1154787869 | The Arc of Bristol County Dba Proability | In Home Supportive Care | 25 Thurber Blvd, Unit 2, Smithfield, RI 02917-1816 | 2016-01-11 |
| 1689984221 | Restoration Family Services, Inc. | In Home Supportive Care | 15 Noble St, Smithfield, NC 27577-9300 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487196 | Dublin Home Care, LLC | In Home Supportive Care | 112 King William Rd, Raleigh, NC 27610-1802 | 2020-11-03 |
| 1043811573 | Innovative Home Assistance LLC | In Home Supportive Care | 8501 Tower Point Dr Ste B40, Charlotte, NC 28227-7849 | 2020-11-02 |
| 1275132821 | Infinite Favor Home Care Services LLC | In Home Supportive Care | 4373 Auburn Hills Dr, Raleigh, NC 27616-9309 | 2020-10-23 |
| 1043819972 | Natasha Lavinya Morgan | In Home Supportive Care | 915 First Tee Dr, High Point, NC 27263-2388 | 2020-10-21 |
| 1629677851 | Sdx Home Care Operations, LLC | In Home Supportive Care | 1415 W Nc Highway 54 Ste 209, Durham, NC 27707-5597 | 2020-10-19 |
| 1417555848 | Fumani Investment LLC | In Home Supportive Care | 4822 Albemarle Rd Ste 280-b, Charlotte, NC 28205-6668 | 2020-10-16 |
| 1447858493 | Concept of Care Inc | In Home Supportive Care | 5115 Osage Cir, Charlotte, NC 28269-4693 | 2020-10-13 |
| 1780282723 | Kate Lyons | In Home Supportive Care | 5440 Atlantic Springs Rd Ste 109, Raleigh, NC 27616-1855 | 2020-10-12 |
| 1588261549 | Alliance Group 1 Home Care LLC | In Home Supportive Care | 244 Audubon Dr, Raeford, NC 28376-7269 | 2020-10-02 |
| 1598362741 | Quality Care Health Services Inc. | In Home Supportive Care | 301 S Church St Ste 168, Rocky Mount, NC 27804-5748 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
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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.