Provider Demographics
NPI:1821504770
Name:BELOVED CASE MANAGEMENT
Entity Type:Organization
Organization Name:BELOVED CASE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BANKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-686-3902
Mailing Address - Street 1:13527 NOBLE LANDING LN
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-0409
Mailing Address - Country:US
Mailing Address - Phone:281-686-3902
Mailing Address - Fax:
Practice Address - Street 1:13527 NOBLE LANDING LN
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-0409
Practice Address - Country:US
Practice Address - Phone:281-686-3902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-14
Last Update Date:2017-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management