Provider Demographics
NPI:1619276128
Name:SMALL BEGINNINGS INC
Entity Type:Organization
Organization Name:SMALL BEGINNINGS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:ROGONE
Authorized Official - Suffix:
Authorized Official - Credentials:PA RCP
Authorized Official - Phone:800-676-0462
Mailing Address - Street 1:17229 LEMON ST
Mailing Address - Street 2:SUITE E-7
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-8327
Mailing Address - Country:US
Mailing Address - Phone:800-676-0462
Mailing Address - Fax:760-948-1916
Practice Address - Street 1:17229 LEMON ST
Practice Address - Street 2:SUITE E-7
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-8327
Practice Address - Country:US
Practice Address - Phone:800-676-0462
Practice Address - Fax:760-948-1916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-23
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4966332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment