Healthcare Provider Details

I. General information

NPI: 1679408421
Provider Name (Legal Business Name): BEYOND CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 16TH AVE STE 4
NEWARK NJ
07103-2644
US

IV. Provider business mailing address

61 16TH AVE STE 4
NEWARK NJ
07103-2644
US

V. Phone/Fax

Practice location:
  • Phone: 862-800-4295
  • Fax: 862-800-4295
Mailing address:
  • Phone: 862-800-4295
  • Fax: 862-800-4295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: BREANNA BREANNA
Title or Position: OWNER
Credential: CNA
Phone: 862-800-4295