Provider Demographics
NPI:1013423268
Name:BEYOND CARE HOME HEALTH LLC
Entity Type:Organization
Organization Name:BEYOND CARE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAKICCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNNAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-415-5221
Mailing Address - Street 1:3903 NORTHDALE BLVD
Mailing Address - Street 2:STE 100E
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33624
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3903 NORTHDALE BVLD
Practice Address - Street 2:100E
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33624
Practice Address - Country:US
Practice Address - Phone:813-415-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-26
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health