Provider Demographics
NPI:1578218574
Name:BEATITUDE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BEATITUDE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMENICA
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-269-4884
Mailing Address - Street 1:5230 CLARK AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90712-2649
Mailing Address - Country:US
Mailing Address - Phone:310-343-1016
Mailing Address - Fax:562-278-2720
Practice Address - Street 1:5230 CLARK AVE STE 10
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-2649
Practice Address - Country:US
Practice Address - Phone:562-269-4884
Practice Address - Fax:562-278-2720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health