Provider Demographics
NPI:1265976682
Name:BEO ENTERPRISES, INC
Entity type:Organization
Organization Name:BEO ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GOETZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-385-0200
Mailing Address - Street 1:5055 MARK DABLING BLVD
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-3834
Mailing Address - Country:US
Mailing Address - Phone:719-385-0200
Mailing Address - Fax:719-385-0201
Practice Address - Street 1:5055 MARK DABLING BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-3834
Practice Address - Country:US
Practice Address - Phone:719-385-0200
Practice Address - Fax:719-385-0201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-05
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04L492251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health