Provider Demographics
NPI: | 1700664463 |
---|---|
Name: | BEYOND CARE LLC |
Entity Type: | Organization |
Organization Name: | BEYOND CARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | MANAGER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | CHISOM |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | OKONKWO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 469-364-2069 |
Mailing Address - Street 1: | 667 FLETCHER DR |
Mailing Address - Street 2: | |
Mailing Address - City: | FATE |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 75087-0510 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 469-364-2069 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 667 FLETCHER DR |
Practice Address - Street 2: | |
Practice Address - City: | FATE |
Practice Address - State: | TX |
Practice Address - Zip Code: | 75087-0510 |
Practice Address - Country: | US |
Practice Address - Phone: | 469-364-2069 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2023-09-14 |
Last Update Date: | 2023-09-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 251E00000X | Agencies | Home Health | |
No | 251G00000X | Agencies | Hospice Care, Community Based | |
No | 251J00000X | Agencies | Nursing Care | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 3140N1450X | Nursing & Custodial Care Facilities | Skilled Nursing Facility | Nursing Care, Pediatric |
No | 320600000X | Residential Treatment Facilities | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children |
No | 385H00000X | Respite Care Facility | Respite Care | |
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
No | 385HR2065X | Respite Care Facility | Respite Care | Respite Care, Physical Disabilities, Child |