Provider Demographics
NPI:1023732286
Name:A BEAUTIFUL HOME CARE, LP
Entity type:Organization
Organization Name:A BEAUTIFUL HOME CARE, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEARL
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GUILLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-381-8320
Mailing Address - Street 1:3711 MEDICAL DR APT 126
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-2281
Mailing Address - Country:US
Mailing Address - Phone:210-381-8320
Mailing Address - Fax:
Practice Address - Street 1:3711 MEDICAL DR APT 126
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-2281
Practice Address - Country:US
Practice Address - Phone:210-381-8320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health