Provider Demographics
NPI:1518474394
Name:BEYONDFAITH HOSPICE OF GARLAND, LLC
Entity Type:Organization
Organization Name:BEYONDFAITH HOSPICE OF GARLAND, LLC
Other - Org Name:BEYONDFAITH HOSPICE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEALES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-521-9915
Mailing Address - Street 1:604 OAK ST STE 105
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-3070
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:950 HILLTOP DR
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-5488
Practice Address - Country:US
Practice Address - Phone:817-770-0207
Practice Address - Fax:817-550-6019
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-03
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based