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BEULAH HOME HEALTH AGENCY INC
NPI 1942594940
Home Health in Tyler, TX

Active since June 07, 2011CLIA 45D2033949 · Waiver
3613 ROCK CREEK DR, TYLER, TX 75707(903) 525-9037(903) 525-9076 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beulah Home Health Agency Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BEULAH HOME HEALTH AGENCY INC (NPI 1942594940) is a healthcare organization registered as a home health in Tyler, Texas and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through December 12, 2027 and lists Vincent Udosen, Pres, as its authorized official.

NPPES Registry Identity

NPI1942594940
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameBEULAH HOME HEALTH AGENCY INC
Location Address3613 ROCK CREEK DRTyler, TX 75707-1635
Mailing Address3613 Rock Creek DrTyler, TX 75707-1635 · (903) 525-9037 · Fax (903) 525-9076
Phone(903) 525-9037
Fax(903) 525-9076
Organization SubpartNo
Authorized OfficialVincent UdosenPres · (903) 525-9037
Enumeration DateJune 7, 2011
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1942594940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
3613 ROCK CREEK DR, Tyler, TX 75707
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Other Identifiers 1

Medicaid3368433TX

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2033949

Beulah Home Health Agency · Tyler, TX
Active · expires Dec 12, 2027
CLIA Number45D2033949
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 13, 2025
Certificate Expiration DateDecember 12, 2027
Laboratory DirectorVincent Udosen
Laboratory Phone(903) 581-2058
Laboratory LocationBeulah Home Health Agency3613 Rock Creek Drive, Tyler, TX 75707
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Beulah Home Health Agency Inc (CMS certification number 747788), from CMS Care Compare.

Beulah Home Health Agency Inc

Home health agency · Tyler, TX
OwnershipProprietary
CMS Certification Number747788
Medicare-Certified SinceMarch 7, 2013
Phone(903) 525-9037
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIANT MEDICAL CLINIC OF EAST TEXAS LLC
Nurse Practitioner (Gerontology)
3613 ROCK CREEK DR
TYLER, TX 75707
Smith County (903) 343-7480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beulah Home Health Agency Inc's NPI number?

The NPI number for Beulah Home Health Agency Inc is 1942594940. It was assigned to this organization in the NPPES registry on June 7, 2011.

Where is Beulah Home Health Agency Inc located?

Beulah Home Health Agency Inc is located at 3613 Rock Creek Dr, Tyler, TX 75707. The listed phone number is (903) 525-9037.

What is Beulah Home Health Agency Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Beulah Home Health Agency Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2033949) is associated with this NPI, valid through December 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Beulah Home Health Agency Inc a Medicare-certified home health agency?

Yes. Beulah Home Health Agency Inc is a Medicare-certified home health agency, certified since March 7, 2013.

When was this NPI record last updated?

The NPPES record for Beulah Home Health Agency Inc was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.