Provider Demographics
NPI:1902142052
Name:BETAVIEW HEALTHCARE GROUP LLC.
Entity Type:Organization
Organization Name:BETAVIEW HEALTHCARE GROUP LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NKAMIGBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-446-7077
Mailing Address - Street 1:707 ACACIA PL
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5706
Mailing Address - Country:US
Mailing Address - Phone:713-446-7077
Mailing Address - Fax:
Practice Address - Street 1:707 ACACIA PL
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5706
Practice Address - Country:US
Practice Address - Phone:713-446-7077
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child