Healthcare Provider Details

I. General information

NPI: 1063328029
Provider Name (Legal Business Name): BEYOND EXPECTATIONS EXPLORATORY PROGRAMS AND SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15261 NW WILLIE H GREEN RD
BRISTOL FL
32321-2332
US

IV. Provider business mailing address

PO BOX 253
GREENSBORO FL
32330-0253
US

V. Phone/Fax

Practice location:
  • Phone: 448-488-3242
  • Fax:
Mailing address:
  • Phone: 448-488-3242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: CANDACE GREEN HINSON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 850-363-8493