| Organization Name: | BEACON INHOME CARE, INC. |
| NPI Number: | 1821123100 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCIE COATS CANNON (OWNERPRESIDENT) |
| Mailing Address: | 110 Cross Street Rutherford College |
| State: | NC US |
| Postal Code: | 286710401 |
| Phone Number: | 8288798217 |
| Fax Number: | 8288741577 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | HC2357 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |