Provider Demographics
NPI:1437863867
Name:BEYOND EXPECTATIONS CARE SERVICES LLC
Entity Type:Organization
Organization Name:BEYOND EXPECTATIONS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARKSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:215-840-4144
Mailing Address - Street 1:638 RIGEL WAY
Mailing Address - Street 2:
Mailing Address - City:BEAR
Mailing Address - State:DE
Mailing Address - Zip Code:19701-6816
Mailing Address - Country:US
Mailing Address - Phone:215-840-4144
Mailing Address - Fax:
Practice Address - Street 1:1207 S BUCKNELL ST
Practice Address - Street 2:
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19146-4120
Practice Address - Country:US
Practice Address - Phone:215-840-4144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-10
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care