Organization Active NPI

Beausejour Personal Care LLC

Doing business as Beausejour Personal Care

  • In Home Supportive Care Agency
  • Houston, TX
National Provider Identifier
1912305210
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEAUSEJOUR PERSONAL CARE LLC
Doing business as
Beausejour Personal Care
Practice address
11426 Kirkhollow Dr
Houston, TX 77089-2226
Phone
(832) 288-5648
Fax
(281) 741-5024
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Ms. Agatha Joan Peterkin
Title
Owner/Administrator
Phone
(832) 288-5648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

11426 Kirkhollow Dr
Houston, TX 77089-2226

Mailing address

11426 Kirkhollow Dr
Houston, TX 77089-2226
Phone (832) 288-5648

Other names 1

  • Beausejour Personal Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1912305210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11426 KIRKHOLLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892226",
            "telephone_number": "832-288-5648",
            "fax_number": "281-741-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11426 KIRKHOLLOW DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770892226",
            "telephone_number": "832-288-5648",
            "fax_number": "281-741-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUSEJOUR PERSONAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "AGATHA",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "832-288-5648",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beausejour Personal Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.