Healthcare Provider Details

I. General information

NPI: 1245049220
Provider Name (Legal Business Name): BEAUTIFUL BEGINNINGS, HAPPY ENDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2025
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1131 S AUSTIN BLVD APT 2
CHICAGO IL
60644-5312
US

IV. Provider business mailing address

1131 S AUSTIN BLVD APT 2
CHICAGO IL
60644-5312
US

V. Phone/Fax

Practice location:
  • Phone: 708-965-2268
  • Fax:
Mailing address:
  • Phone: 708-965-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. JAYVA PERRIN
Title or Position: OWNER
Credential:
Phone: 708-965-2268