Provider Demographics
NPI:1750950168
Name:FAMILIES BEYOND HOME CARE LLC
Entity type:Organization
Organization Name:FAMILIES BEYOND HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:O
Authorized Official - Last Name:DOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-219-8012
Mailing Address - Street 1:3010 MONROE RD STE 107A3010
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28205-7532
Mailing Address - Country:US
Mailing Address - Phone:704-963-6961
Mailing Address - Fax:980-215-0250
Practice Address - Street 1:3010 MONROE RD STE 107A3010
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28205-7532
Practice Address - Country:US
Practice Address - Phone:980-219-8012
Practice Address - Fax:980-215-0250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-21
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care