<Unavail>

LBN: Beacon Health Ventures Inc
<Unavail> is an health care organization with primary practice located at 3355 Douglas Rd , South Bend IN 46635-1779. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy. Suppliers / Home Infusion Therapy Pharmacy is the primary health care specialty. Beacon Health Ventures Inc can be contacted via phone (574) 647-8675, or through Wait, Trudy K via phone (574) 647-8674.

Contact Information

Primary practice address
3355 Douglas Rd South Bend IN 46635-1779
Phone: (574) 647-8675
Fax: (574) 647-8764
Website:
Map and Directions
Authorized official contact:
Name: Wait, Trudy K
Phone: (574) 647-8674

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X

Profile Details

NPI number 1790859403
LBN Legal business name Beacon Health Ventures Inc
DBA Doing business as <Unavail>
Authorized official Wait, Trudy K
Entity Organization
Organization subpart 1 No
Enumeration date Nov 17th, 2006
Last updated Dec 9th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790859403 NPPES
Indiana Other 100263690A WAIVER
Indiana MEDICAID 100301140A WAIVER
Indiana Other M300042869 WAIVER
Indiana Other 000000097412 WAIVER
Indiana Other 000000107793 WAIVER

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