Healthcare Provider Details

I. General information

NPI: 1437863867
Provider Name (Legal Business Name): BEYOND EXPECTATIONS CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2023
Last Update Date: 01/18/2023
Certification Date: 01/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1207 S BUCKNELL ST
PHILA PA
19146-4120
US

IV. Provider business mailing address

638 RIGEL WAY
BEAR DE
19701-6816
US

V. Phone/Fax

Practice location:
  • Phone: 215-840-4144
  • Fax:
Mailing address:
  • Phone: 215-840-4144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHARON CLARKSON
Title or Position: CO-OWNER
Credential: RN
Phone: 215-840-4144