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NPI Code Detail

MEDICARE: BEATITUDE HOME HEALTH CARE LLC

MEDICARE: BEATITUDE HOME HEALTH CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1578218574
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEATITUDE HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 5230 CLARK AVE STE 10
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-2649
Country : US
Telephone Number : 310-343-1016
Fax Number : 562-278-2720
Provider Business Practice Location Address
First Line : 5230 CLARK AVE STE 10
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-2649
Country : US
Telephone Number : 562-269-4884
Fax Number : 562-278-2720
Authorized Official
Title or Position : PRESIDENT
Name : MS. JAMENICA REYES
Credential : RN
Telephone Number : 562-269-4884
Provider Enumeration Date : 02/17/2022
Last Update Date : 02/17/2022

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Directions to “BEATITUDE HOME HEALTH CARE LLC ” Practice Location

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