Provider Demographics
NPI:1598520157
Name:BEAUVAIS HEALTH & HOMECARE INC
Entity Type:Organization
Organization Name:BEAUVAIS HEALTH & HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMIN
Authorized Official - Prefix:DR
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEAUVAIS
Authorized Official - Suffix:
Authorized Official - Credentials:DO, COHN, RN
Authorized Official - Phone:954-820-5348
Mailing Address - Street 1:3821 W HALLANDALE BEACH BLVD UNIT 1
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33023-4456
Mailing Address - Country:US
Mailing Address - Phone:954-859-6294
Mailing Address - Fax:754-222-2081
Practice Address - Street 1:3821 W HALLANDALE BEACH BLVD UNIT 1
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33023-4456
Practice Address - Country:US
Practice Address - Phone:954-859-6294
Practice Address - Fax:754-222-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No163WX0106XNursing Service ProvidersRegistered NurseOccupational HealthGroup - Multi-Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty
No376G00000XNursing Service Related ProvidersNursing Home AdministratorGroup - Multi-Specialty