| Organization Name: | BEEHIVE HOME CARE |
| NPI Number: | 1295174241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMES SAMUEL CLARK (PRESIDENT) |
| Mailing Address: | 256 N Main St Alpine |
| State: | UT US |
| Postal Code: | 840041476 |
| Phone Number: | 8016920110 |
| Fax Number: | 8889599391 |
| NPI Enumeration Date: | 06/21/2013 |
| NPI Last Update Date: | 06/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 2013PCAUT000582 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |