Provider Demographics
NPI:1477228609
Name:BEYOND NURSING CARE LLC
Entity Type:Organization
Organization Name:BEYOND NURSING CARE LLC
Other - Org Name:BEYOND NURSING CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SENIOR COMMUNITY HOME CARE
Authorized Official - Prefix:MISS
Authorized Official - First Name:BOBIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CALICUTT
Authorized Official - Suffix:
Authorized Official - Credentials:CNA CMT
Authorized Official - Phone:314-536-2930
Mailing Address - Street 1:2055 CRAIGSHIRE RD STE 420F
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63146-4043
Mailing Address - Country:US
Mailing Address - Phone:314-548-6159
Mailing Address - Fax:314-887-7004
Practice Address - Street 1:2055 CRAIGSHIRE RD STE 420F
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63146-4043
Practice Address - Country:US
Practice Address - Phone:816-400-4276
Practice Address - Fax:314-887-7004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-10
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty