Healthcare Provider Details

I. General information

NPI: 1265732796
Provider Name (Legal Business Name): BEYOND EXPECTATIONS HUMAN SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2010
Last Update Date: 11/01/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8025 N POINT BLVD STE 230
WINSTON SALEM NC
27106-3288
US

IV. Provider business mailing address

8025 N POINT BLVD STE 230
WINSTON SALEM NC
27106-3288
US

V. Phone/Fax

Practice location:
  • Phone: 336-896-2046
  • Fax: 336-896-2047
Mailing address:
  • Phone: 336-896-2046
  • Fax: 336-896-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DIANE BOOE
Title or Position: CEO
Credential:
Phone: 336-896-2046