Provider Demographics
NPI:1841833472
Name:BEAUTY FOR ASHES HOME CARE LLC
Entity type:Organization
Organization Name:BEAUTY FOR ASHES HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:SHONELL
Authorized Official - Last Name:HENNING
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:909-687-7100
Mailing Address - Street 1:1131 W 6TH ST STE 229
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91762-1121
Mailing Address - Country:US
Mailing Address - Phone:909-687-7100
Mailing Address - Fax:
Practice Address - Street 1:1131 W 6TH ST STE 229
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91762-1121
Practice Address - Country:US
Practice Address - Phone:909-687-7100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-27
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care