Provider Demographics
NPI:1588845036
Name:BENEFICIAL HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:BENEFICIAL HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROMEO
Authorized Official - Middle Name:SUAREZ
Authorized Official - Last Name:JAOJOCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-904-4366
Mailing Address - Street 1:770 S BREA BLVD
Mailing Address - Street 2:SUITE 217
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5360
Mailing Address - Country:US
Mailing Address - Phone:714-256-0756
Mailing Address - Fax:714-256-0754
Practice Address - Street 1:770 S BREA BLVD
Practice Address - Street 2:SUITE 217
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-5360
Practice Address - Country:US
Practice Address - Phone:714-256-0756
Practice Address - Fax:714-256-0754
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BENEFICIAL HOME HEALTH SERVICES INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-26
Last Update Date:2010-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000576251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
059223Medicare Oscar/Certification