Provider Demographics
NPI:1811699192
Name:BEATTYCARE COMMUNITY AND FAMILY SERVICES LLC
Entity type:Organization
Organization Name:BEATTYCARE COMMUNITY AND FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:E
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-505-6184
Mailing Address - Street 1:6092 FRANCONIA RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-1741
Mailing Address - Country:US
Mailing Address - Phone:703-347-7444
Mailing Address - Fax:703-665-6570
Practice Address - Street 1:6092 FRANCONIA RD
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-1741
Practice Address - Country:US
Practice Address - Phone:703-347-7444
Practice Address - Fax:703-665-6570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care