Provider Demographics
NPI:1790201192
Name:BEYOND HOME INC.
Entity Type:Organization
Organization Name:BEYOND HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ADMINSTRATOR/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-699-7181
Mailing Address - Street 1:PO BOX 1085
Mailing Address - Street 2:
Mailing Address - City:AFTON
Mailing Address - State:WY
Mailing Address - Zip Code:83110-1085
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:153 DOYLE CHILD CIRCLE
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:WY
Practice Address - Zip Code:83110
Practice Address - Country:US
Practice Address - Phone:307-885-2263
Practice Address - Fax:307-699-2264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management