Provider Demographics
NPI:1659983658
Name:BEYOND AND AMAZING,LLC
Entity Type:Organization
Organization Name:BEYOND AND AMAZING,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSLENE
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HARBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN NURSE
Authorized Official - Phone:313-768-8677
Mailing Address - Street 1:31674 SCHOENHERR RD APT G-14
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-1928
Mailing Address - Country:US
Mailing Address - Phone:313-768-8677
Mailing Address - Fax:
Practice Address - Street 1:31674 SCHOENHERR RD APT G-14
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-1928
Practice Address - Country:US
Practice Address - Phone:313-768-8677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health