Provider Demographics
NPI:1962893925
Name:BEE AT HOME, LLC
Entity type:Organization
Organization Name:BEE AT HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:MATT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BEFFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-634-8282
Mailing Address - Street 1:100 KING RIDGE RD STE B
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65109-0295
Mailing Address - Country:US
Mailing Address - Phone:573-634-8280
Mailing Address - Fax:573-634-8287
Practice Address - Street 1:100 KING RIDGE RD STE B
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65109-0295
Practice Address - Country:US
Practice Address - Phone:573-634-8280
Practice Address - Fax:573-634-8287
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006107253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care