Provider Demographics
NPI:1407479306
Name:BEYOND THE GLOVE LLC
Entity Type:Organization
Organization Name:BEYOND THE GLOVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:BENNIE
Authorized Official - Middle Name:LIONEL
Authorized Official - Last Name:GARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-904-0870
Mailing Address - Street 1:6223 CHESAPEAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2005
Mailing Address - Country:US
Mailing Address - Phone:757-904-0870
Mailing Address - Fax:757-904-0871
Practice Address - Street 1:6223 CHESAPEAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2005
Practice Address - Country:US
Practice Address - Phone:757-904-0870
Practice Address - Fax:757-904-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)