Organization
NEW BEACON HEALTHCARE GROUP, LLC
Active
Other names
SouthernCare New Beacon, SouthernCare New Beacon - Jasper, New Beacon of Jasper
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER TYLER (AUTHORIZED OFFICIAL)
(678) 449-0459
Entity
Organization
Contact information
Practice address
3835 WATERMELON RD STE B&C, NORTHPORT, AL 35473-5001
(205) 469-0273
(205) 469-0276
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PIC1506E
—
AL
Enumeration date
07/02/2006
Last updated
07/07/2026
Update your record
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