Provider Demographics
NPI:1033737051
Name:BEAUTIFUL HOMES RESIDENTIAL CARE
Entity type:Organization
Organization Name:BEAUTIFUL HOMES RESIDENTIAL CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DANNA LYN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-840-7660
Mailing Address - Street 1:13118 CANTRECE LN
Mailing Address - Street 2:
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-6131
Mailing Address - Country:US
Mailing Address - Phone:213-840-7660
Mailing Address - Fax:
Practice Address - Street 1:13118 CANTRECE LN
Practice Address - Street 2:
Practice Address - City:CERRITOS
Practice Address - State:CA
Practice Address - Zip Code:90703-6131
Practice Address - Country:US
Practice Address - Phone:213-840-7660
Practice Address - Fax:424-263-4881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-07
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA550005597OtherCONGREGATE LIVING HEALTH FACILITY