Provider Demographics
NPI:1396097770
Name:BEYONDFAITH HOSPICE LLC
Entity type:Organization
Organization Name:BEYONDFAITH HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BECKY
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-521-9915
Mailing Address - Street 1:604 OAK ST STE 105
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-3070
Mailing Address - Country:US
Mailing Address - Phone:940-521-9915
Mailing Address - Fax:940-521-9119
Practice Address - Street 1:604 OAK ST
Practice Address - Street 2:SUITE 105
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-3070
Practice Address - Country:US
Practice Address - Phone:940-521-9915
Practice Address - Fax:940-521-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015321251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX671777Medicare UPIN