Provider Demographics
NPI:1124352398
Name:BENEFICIAL ASSOCIATES,CORP
Entity type:Organization
Organization Name:BENEFICIAL ASSOCIATES,CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCIUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-825-1395
Mailing Address - Street 1:4400 N FEDERAL HWY STE 33
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-3423
Mailing Address - Country:US
Mailing Address - Phone:954-990-4786
Mailing Address - Fax:954-905-6236
Practice Address - Street 1:4400 N FEDERAL HWY
Practice Address - Street 2:#48
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-5187
Practice Address - Country:US
Practice Address - Phone:561-961-4809
Practice Address - Fax:561-961-4821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-21
Last Update Date:2021-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL30211402251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1124352398Medicaid