Healthcare Provider Details

I. General information

NPI: 1144678558
Provider Name (Legal Business Name): BEYOND EXCELLENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2016
Last Update Date: 05/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 HAMPDEN LN SUITE 200
BETHESDA MD
20814-2930
US

IV. Provider business mailing address

4800 HAMPDEN LN SUITE 200
BETHESDA MD
20814-2930
US

V. Phone/Fax

Practice location:
  • Phone: 301-249-6110
  • Fax:
Mailing address:
  • Phone: 301-249-6110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberR3944
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberR3944
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberR3944
License Number StateMD

VIII. Authorized Official

Name: MR. RAHSAAN BERNARD
Title or Position: PRESIDENT
Credential:
Phone: 301-928-2996