Healthcare Provider Details

I. General information

NPI: 1336065630
Provider Name (Legal Business Name): BEYOND EXPECTATIONS SUPPORTIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 ARLINGTON AVE
TOLEDO OH
43609-3069
US

IV. Provider business mailing address

1725 ARLINGTON AVE
TOLEDO OH
43609-3069
US

V. Phone/Fax

Practice location:
  • Phone: 419-266-4321
  • Fax:
Mailing address:
  • Phone: 419-266-4321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: ERNEST EASLEY
Title or Position: CEO
Credential:
Phone: 419-266-4321