Beautiful Angels Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

BEAUTIFUL ANGELS CARE HOME LLC

Practice address

4171 NW 48TH Ave
Lauderdale Lakes, FL 33319-4716

Phone

(954) 955-5290

NPI assigned

Nov 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marva Williams

Title

Administrator

Phone

(954) 955-5290

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1194548149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4171 NW 48TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194716",
            "telephone_number": "954-955-5290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4171 NW 48TH AVE",
            "city": "LAUDERDALE LAKES",
            "state": "FL",
            "postal_code": "333194716",
            "telephone_number": "954-955-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL ANGELS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MARVA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-955-5290"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bethanne Battista, RN
• Cynthia Battle, CRTT
• Javier Alfonso Bautista, APRN
• Fernando E Bayron Velez, MD
• Gabriela Beaujour
• Shauna Nichole Bedasse, MD
• Claudine Bedoy, PA
• Evon Bekhit, M.D.
• Bela Kovacs MD PA
• Eric Belizaire, M.D.

• Adult Care Home Facility in Lauderdale Lakes, FL
• Providers in Lauderdale Lakes, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.