Provider Demographics
NPI:1518257286
Name:BETTERLIFE HCS LLC
Entity Type:Organization
Organization Name:BETTERLIFE HCS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLAYIDE
Authorized Official - Middle Name:MODUPE
Authorized Official - Last Name:ROPOTUSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-881-2613
Mailing Address - Street 1:307 E PIONEER PKWY
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75051-4942
Mailing Address - Country:US
Mailing Address - Phone:817-881-2613
Mailing Address - Fax:972-237-7854
Practice Address - Street 1:307 E PIONEER PKWY
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75051-4942
Practice Address - Country:US
Practice Address - Phone:817-881-2613
Practice Address - Fax:972-237-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-14
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX320600000X, 320900000X, 372600000X, 385HR2060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGroup - Multi-Specialty
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child