Healthcare Provider Details

I. General information

NPI: 1891579546
Provider Name (Legal Business Name): BEYOND AND ABOVE HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2023
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 RACETRACK RD NE STE F3
FORT WALTON BEACH FL
32547-1879
US

IV. Provider business mailing address

615 INEZ ST
FORT WALTON BEACH FL
32548-3828
US

V. Phone/Fax

Practice location:
  • Phone: 850-499-5949
  • Fax:
Mailing address:
  • Phone: 850-499-5949
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. VINSHALA JONES JR.
Title or Position: CEO
Credential:
Phone: 850-499-5949