Provider Demographics
NPI:1508647942
Name:BEYOND HOMECARE LLC
Entity Type:Organization
Organization Name:BEYOND HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAWRENCE
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:336-512-8087
Mailing Address - Street 1:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-1267
Mailing Address - Country:US
Mailing Address - Phone:336-512-8087
Mailing Address - Fax:
Practice Address - Street 1:606 ARDEN ST APT SUITE
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-6888
Practice Address - Country:US
Practice Address - Phone:336-512-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health