Provider Demographics
NPI:1518683747
Name:BEYOND HOME HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:BEYOND HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLAKANMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNNIYI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-289-9303
Mailing Address - Street 1:1402 DOUGHTY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-5640
Mailing Address - Country:US
Mailing Address - Phone:609-289-9303
Mailing Address - Fax:609-286-9302
Practice Address - Street 1:1402 DOUGHTY RD STE 104
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08234-5640
Practice Address - Country:US
Practice Address - Phone:609-289-9303
Practice Address - Fax:609-286-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-19
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health