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General NPI Number Information
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NPI Number | 1356150940
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Entity Type | Organization
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Legal Business Name | BEYOND CARE HOME SERVICES LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 4212 VINSON RD
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City | LAKELAND
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State | FL
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Zip | 33810-5479
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Country | US
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Telephone | 352-318-1216
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Fax |
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Provider Business Mailing Address
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Address Line | 13230 EARLY RUN LN
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City | RIVERVIEW
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State | FL
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Zip | 33578-3389
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Country | US
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Telephone | 813-516-8796
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIERRA ANDERSON
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Credential |
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Telephone | 352-318-1216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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