NPI 1477970374

Beacon Health Ventures, INC.

Organisation Respite Care South Bend, IN

Practice location

Address: 3355 Douglas Rd, South Bend, IN 46635-1781
Phone: (574) 273-2273
Mailing address: 5155 Verdant St, Elkhart, IN 46516-9315

Authorised official

Name: Gregory M Conrad
Title: President
Phone: (574) 647-8777

Registered specialties

Respite Care Primary

Respite Care Facility Taxonomy 385H00000X Licence 14-012264-1 (IN)

Other Respite Care providers in Indiana →

Registry record

NPI: 1477970374
Entity type: Organization
NPI issued: 28 Mar 2014
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.