Provider Demographics
NPI:1033737051
Name:BEAUTIFUL HOMES RESIDENTIAL CARE INC
Entity Type:Organization
Organization Name:BEAUTIFUL HOMES RESIDENTIAL CARE INC
Other - Org Name:BETHEL ESTATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLIOS
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:310-533-1131
Mailing Address - Street 1:21221 S WESTERN AVE STE 155
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2983
Mailing Address - Country:US
Mailing Address - Phone:310-533-1131
Mailing Address - Fax:310-533-1441
Practice Address - Street 1:22525 CERISE AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2913
Practice Address - Country:US
Practice Address - Phone:424-263-4881
Practice Address - Fax:424-263-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550005597OtherCONGREGATE LIVING HEALTH FACILITY