Provider Demographics
NPI:1073210340
Name:BEGINNING STAGES COMMUNITY CARE INC
Entity Type:Organization
Organization Name:BEGINNING STAGES COMMUNITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEWANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-659-7899
Mailing Address - Street 1:PO BOX 25134
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-0134
Mailing Address - Country:US
Mailing Address - Phone:216-659-7899
Mailing Address - Fax:
Practice Address - Street 1:8805 MCCRACKEN BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44125-2301
Practice Address - Country:US
Practice Address - Phone:216-659-7899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health