A Beautful Soul Home Healthcare/Housekeeping

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

491105 Issued in NV

Legal business name

A BEAUTFUL SOUL HOME HEALTHCARE/HOUSEKEEPING

Practice address

3528 Mashie Dr
Sparks, NV 89431-8522

Phone

(775) 342-7437

NPI assigned

Oct 22, 2009

Last updated

Oct 22, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ebony Shaunte Richardson, MEDICAL ASSISTANT

Title

Owner

Phone

(775) 342-7437

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1255667473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 MASHIE DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318522",
            "telephone_number": "775-342-7437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 MASHIE DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318522",
            "telephone_number": "775-342-7437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A BEAUTFUL SOUL HOME HEALTHCARE/HOUSEKEEPING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "SHAUNTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-342-7437",
        "authorized_official_credential": "MEDICAL ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "491105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Sparks, NV
• Providers in Sparks, NV by specialty
• Preferred Provider Organization in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.