Healthcare Provider Details

I. General information

NPI: 1245024611
Provider Name (Legal Business Name): BEYOND CARE PACKAGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 S QUINTARD AVE
ANNISTON AL
36201-6000
US

IV. Provider business mailing address

211 S QUINTARD AVE
ANNISTON AL
36201-6000
US

V. Phone/Fax

Practice location:
  • Phone: 256-454-6958
  • Fax: 866-835-7944
Mailing address:
  • Phone: 256-454-6958
  • Fax: 866-835-7944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. TANCHRA T AKLES-FITCH
Title or Position: PRESIDENT
Credential:
Phone: 256-454-6958