# BEAUVAIS HEALTH HOMECARE 3 INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Beauvais School of Nursing
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538977301
- **Authorized official:** DR. WILDA B BEAUVAIS (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (973) 436-5862

## Contact information

- **Practice address:** 111 NORTHFIELD AVE STE 208A, WEST ORANGE, NJ 07052-4730
- **Practice address phone:** (973) 436-5862
- **Practice address fax:** (973) 537-1006
- **Mailing address:** 594 SW 159TH LN, PEMBROKE PINES, FL 33027-1152
- **Mailing address phone:** (954) 997-5842
- **Mailing address fax:** (954) 859-6152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1400X | College Health Registered Nurse | — | NULL | — |
| 163WC1400X | College Health Registered Nurse | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 364SS0200X | School Clinical Nurse Specialist | — | NULL | — |
| 364SS0200X | School Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 12/24/2024
- **Last updated:** 12/24/2024