Provider Demographics
NPI:1043909682
Name:BEAUMONT OPERATING LLC
Entity Type:Organization
Organization Name:BEAUMONT OPERATING LLC
Other - Org Name:HARMONY CARE AT BEAUMONT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HELLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-455-4660
Mailing Address - Street 1:2660 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77703-4708
Mailing Address - Country:US
Mailing Address - Phone:409-892-1533
Mailing Address - Fax:409-892-1405
Practice Address - Street 1:2660 BRICKYARD RD
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77703-4708
Practice Address - Country:US
Practice Address - Phone:409-892-1533
Practice Address - Fax:409-892-1405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility