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1699658898 NPI number — BEAUTIFUL GATE HOSPICE LLC

NPI Number: 1699658898
Health Care Provider/Practitioner: BEAUTIFUL GATE HOSPICE LLC

Information about “1699658898” NPI (BEAUTIFUL GATE HOSPICE LLC) exists in 1699658898 in HTML format HTML  |  1699658898 in plain Text format TXT  |  1699658898 in PDF (Portable Document Format) PDF  |  1699658898 in an XML format XML  formats.

NPI Number : 1699658898 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699658898",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BEAUTIFUL GATE HOSPICE LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "166 HARGRAVES DR",
    "SecondLineMailingAddress": "STEC-400 / PMB 345",
    "MailingAddressCityName": "AUSTIN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78737",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "166 HARGRAVES DR",
    "SecondLinePracticeLocationAddress": "STEC-400 / PMB 345",
    "PracticeLocationAddressCityName": "AUSTIN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78737",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "281-253-2502",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/28/2025",
    "LastUpdateDate": "07/28/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DIERS",
    "AuthorizedOfficialFirstName": "MINA",
    "AuthorizedOfficialMiddleName": "SHIN",
    "AuthorizedOfficialTitle": "ADMINSTRATOR",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "RN",
    "AuthorizedOfficialTelephoneNumber": "281-253-2502",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251G00000X",
        "TaxonomyName": "Community Based Hospice Care Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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