Provider Demographics
NPI:1699851642
Name:BENEFICIAL HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:BENEFICIAL HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:KALUARACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-457-8703
Mailing Address - Street 1:5787 S HAMPTON RD
Mailing Address - Street 2:STE 455
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2255
Mailing Address - Country:US
Mailing Address - Phone:214-330-7030
Mailing Address - Fax:214-330-7073
Practice Address - Street 1:5787 S HAMPTON RD
Practice Address - Street 2:STE 455
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-2255
Practice Address - Country:US
Practice Address - Phone:214-330-7030
Practice Address - Fax:214-330-7073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-31
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009081251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001013739Medicaid
TX001013740Medicaid