MEDICARE: BENEFICIENT INC

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
1	251E00000X	Home Health Agency	001017818	TX
2	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1000131	OTHER	TX	TDH

General Provider Information

NPI Number	:	1144451790
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BENEFICIENT INC

Provider Business Mailing Address
First Line	:	9695 SOUTHWEST FWY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1332
Country	:	US
Telephone Number	:	713-988-2942
Fax Number	:	713-988-2943

Provider Business Practice Location Address
First Line	:	8323 SOUTHWEST FWY STE 710
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1618
Country	:	US
Telephone Number	:	713-988-2942
Fax Number	:	713-988-2943

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	SHERRY TADESE
Credential	:
Telephone Number	:	713-988-2942

Provider Enumeration Date	:	07/30/2009
Last Update Date	:	10/02/2020

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Directions to “BENEFICIENT INC ” Practice Location

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