Provider Demographics
NPI:1790115970
Name:BLESSED B'YOND MEASURE
Entity Type:Organization
Organization Name:BLESSED B'YOND MEASURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:TAVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-298-4676
Mailing Address - Street 1:2604 DILLARD ST
Mailing Address - Street 2:
Mailing Address - City:FT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76105-4536
Mailing Address - Country:US
Mailing Address - Phone:817-705-9886
Mailing Address - Fax:
Practice Address - Street 1:2604 DILLARD ST
Practice Address - Street 2:
Practice Address - City:FT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76105-4536
Practice Address - Country:US
Practice Address - Phone:817-705-9886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care