Provider Demographics
NPI:1902043276
Name:BEAUTIFUL BEGINNINGS
Entity Type:Organization
Organization Name:BEAUTIFUL BEGINNINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-534-5480
Mailing Address - Street 1:420 TIERNEY RD
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76112-6324
Mailing Address - Country:US
Mailing Address - Phone:817-534-5480
Mailing Address - Fax:817-534-4748
Practice Address - Street 1:420 TIERNEY RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76112-6324
Practice Address - Country:US
Practice Address - Phone:817-534-5480
Practice Address - Fax:817-534-4748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child