Provider Demographics
NPI:1689462665
Name:BEAUVAIS HEALTH & HOMECARE INC
Entity type:Organization
Organization Name:BEAUVAIS HEALTH & HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BEAUVAIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-859-6294
Mailing Address - Street 1:9121 TAFT ST
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-4652
Mailing Address - Country:US
Mailing Address - Phone:954-859-6294
Mailing Address - Fax:954-656-2887
Practice Address - Street 1:9121 TAFT ST
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-4652
Practice Address - Country:US
Practice Address - Phone:954-859-6294
Practice Address - Fax:954-859-6152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-29
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty