Organization Active NPI

Beautiful Beginnings Assisted Living Home LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1417330929
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH5072 Issued in AZ
Legal business name
BEAUTIFUL BEGINNINGS ASSISTED LIVING HOME LLC
Doing business as
beautiful beginnings residential homes
Practice address
2819 S 73Rd Dr
Phoenix, AZ 85043-7255
Phone
(623) 418-8313
Fax
(623) 322-9255
NPI assigned
Jul 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Josephine Duah
Title
Owner
Phone
(623) 418-8313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH5072 AZ Primary

Addresses

Primary practice location

2819 S 73Rd Dr
Phoenix, AZ 85043-7255

Mailing address

2819 S 73Rd Dr
Phoenix, AZ 85043-7255
Phone (623) 418-8313

Other names 1

  • beautiful beginnings residential homes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beautiful Beginnings Assisted Living Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1435708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1417330929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 S 73RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437255",
            "telephone_number": "623-418-8313",
            "fax_number": "623-322-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 S 73RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850437255",
            "telephone_number": "623-418-8313",
            "fax_number": "623-322-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL BEGINNINGS ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-01",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "DUAH",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-418-8313"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "beautiful beginnings residential homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.