Healthcare Provider Details

I. General information

NPI: 1467719047
Provider Name (Legal Business Name): HELP BEYOND CLOSED DOORS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 06/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 TORCH HILL RD 79B
COLUMBUS GA
31903-5200
US

IV. Provider business mailing address

2001 TORCH HILL RD 79B
COLUMBUS GA
31903-5200
US

V. Phone/Fax

Practice location:
  • Phone: 762-233-4223
  • Fax:
Mailing address:
  • Phone: 762-233-4223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateGA

VIII. Authorized Official

Name: TANISHA BUTTS
Title or Position: MANAGING MEMBER
Credential:
Phone: 762-233-4223