Organization
NEW BEACON HEALTHCARE GROUP, LLC
Active
Other names
SouthernCare New Beacon - Anniston, New Beacon of Anniston
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TYLER (VP OF REGULATORY COUNSEL)
(704) 664-2876
Entity
Organization
Contact information
Practice address
1419 LEIGHTON AVE STE A, ANNISTON, AL 36207-3801
(256) 236-5334
(256) 231-4558
Mailing address
PO BOX 4060, ATTN: REGULATORY, MOORESVILLE, NC 28117-4060
(704) 664-2876
(704) 230-0946
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
E0801
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1508E
—
AL
Enumeration date
07/01/2006
Last updated
08/26/2026
Update your record
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