Provider Demographics
NPI:1699658898
Name:BEAUTIFUL GATE HOSPICE LLC
Entity type:Organization
Organization Name:BEAUTIFUL GATE HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MINA
Authorized Official - Middle Name:SHIN
Authorized Official - Last Name:DIERS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-253-2502
Mailing Address - Street 1:166 HARGRAVES DR
Mailing Address - Street 2:STEC-400 / PMB 345
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78737
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:166 HARGRAVES DR
Practice Address - Street 2:STEC-400 / PMB 345
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78737
Practice Address - Country:US
Practice Address - Phone:281-253-2502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based