Healthcare Provider Details

I. General information

NPI: 1518787787
Provider Name (Legal Business Name): BEYOND BLESSED HOME HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 BOERUM CT
VA BEACH VA
23452-1859
US

IV. Provider business mailing address

317 BOERUM CT
VA BEACH VA
23452-1859
US

V. Phone/Fax

Practice location:
  • Phone: 757-802-0441
  • Fax:
Mailing address:
  • Phone: 757-802-0441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: JOHNEL LYNETTE BOND
Title or Position: OWNER
Credential:
Phone: 757-802-0441