Provider Demographics
NPI:1518498591
Name:A BEYOND SHELTER LLC
Entity Type:Organization
Organization Name:A BEYOND SHELTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:A
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-318-8144
Mailing Address - Street 1:4406 PLUM FOREST RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-3783
Mailing Address - Country:US
Mailing Address - Phone:281-318-8144
Mailing Address - Fax:833-415-0520
Practice Address - Street 1:18539 PARMA CREEK TRL
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-2797
Practice Address - Country:US
Practice Address - Phone:281-318-8144
Practice Address - Fax:833-415-0520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-22
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care