Provider Demographics
NPI:1831936632
Name:BEAUTIFUL FLOWER HOMECARE LLC
Entity type:Organization
Organization Name:BEAUTIFUL FLOWER HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOTTENSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:KABIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:574-904-2760
Mailing Address - Street 1:205 W JEFFERSON BLVD STE 601
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46601-1814
Mailing Address - Country:US
Mailing Address - Phone:574-904-2760
Mailing Address - Fax:
Practice Address - Street 1:205 W JEFFERSON BLVD STE 601
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46601-1814
Practice Address - Country:US
Practice Address - Phone:574-904-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-10
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care