Provider Demographics
NPI:1811220072
Name:NEW BEGINNING ADULT CARE
Entity Type:Organization
Organization Name:NEW BEGINNING ADULT CARE
Other - Org Name:NEW BEGINNING ADULT CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DELISA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:BEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-838-3790
Mailing Address - Street 1:2390 CARTWRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-6709
Mailing Address - Country:US
Mailing Address - Phone:409-838-3790
Mailing Address - Fax:409-838-4091
Practice Address - Street 1:2390 CARTWRIGHT ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-6709
Practice Address - Country:US
Practice Address - Phone:409-838-3790
Practice Address - Fax:409-838-4091
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGINNING ADULT CARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-09-04
Last Update Date:2009-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124697310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility