Healthcare Provider Details

I. General information

NPI: 1730556838
Provider Name (Legal Business Name): BEAUTY OF CARING HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2015
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 FARMVIEW TRL
EUFAULA AL
36027-8176
US

IV. Provider business mailing address

37 FARMVIEW TRL
EUFAULA AL
36027-8176
US

V. Phone/Fax

Practice location:
  • Phone: 706-887-9384
  • Fax:
Mailing address:
  • Phone: 706-887-9384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JASMINE CUNNINGHAM
Title or Position: OWNER- CERTIFIED NURSE ASSISTANT
Credential:
Phone: 706-887-9384