Provider Demographics
NPI:1841864519
Name:A BEAUTIFUL CHOICE HOMECARE LLC
Entity type:Organization
Organization Name:A BEAUTIFUL CHOICE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NOELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-591-8377
Mailing Address - Street 1:1605 E. ERIE AVE #413
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-3331
Mailing Address - Country:US
Mailing Address - Phone:215-315-8503
Mailing Address - Fax:215-315-8506
Practice Address - Street 1:1605 E. ERIE AVE #413
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124
Practice Address - Country:US
Practice Address - Phone:215-315-8503
Practice Address - Fax:215-315-8506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-18
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health