Provider Demographics
NPI:1235628967
Name:BELOVED CARE NURSING SERVICES LLC.
Entity Type:Organization
Organization Name:BELOVED CARE NURSING SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-279-6522
Mailing Address - Street 1:PO BOX 542481
Mailing Address - Street 2:
Mailing Address - City:GREENACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33454-2481
Mailing Address - Country:US
Mailing Address - Phone:561-279-6522
Mailing Address - Fax:
Practice Address - Street 1:200 KNUTH RD STE 210
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4636
Practice Address - Country:US
Practice Address - Phone:561-279-6522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities