Provider Demographics
NPI:1275003683
Name:BELOVED CAREGIVERS SERVICES
Entity Type:Organization
Organization Name:BELOVED CAREGIVERS SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JOYCE
Authorized Official - Last Name:CUNNINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-278-3949
Mailing Address - Street 1:1798 STRICKLAND LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:77434-7082
Mailing Address - Country:US
Mailing Address - Phone:832-278-3949
Mailing Address - Fax:832-218-2103
Practice Address - Street 1:1798 STRICKLAND LN
Practice Address - Street 2:
Practice Address - City:EAGLE LAKE
Practice Address - State:TX
Practice Address - Zip Code:77434-7082
Practice Address - Country:US
Practice Address - Phone:832-278-3949
Practice Address - Fax:832-218-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health