Provider Demographics
NPI:1164830840
Name:BEYOND CARE LIVING, INC
Entity Type:Organization
Organization Name:BEYOND CARE LIVING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:OSAMUDIAME
Authorized Official - Last Name:IYERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-649-8857
Mailing Address - Street 1:2711 MURFREESBORO PIKE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2000
Mailing Address - Country:US
Mailing Address - Phone:615-649-8857
Mailing Address - Fax:615-647-7189
Practice Address - Street 1:2711 MURFREESBORO PIKE
Practice Address - Street 2:SUITE 102
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-2000
Practice Address - Country:US
Practice Address - Phone:615-649-8857
Practice Address - Fax:615-647-7189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251C00000X, 251G00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251G00000XAgenciesHospice Care, Community Based