MEDICARE: BEYOND MEASURES HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	3747P1801X	Personal Care Attendant	LA
2	3747P1801X	Personal Care Attendant
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1083855548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND MEASURES HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1814 DALLAS DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1450
Country	:	US
Telephone Number	:	225-366-0055
Fax Number	:	225-612-6880

Provider Business Practice Location Address
First Line	:	1814 DALLAS DR
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70806-1450
Country	:	US
Telephone Number	:	225-366-0055
Fax Number	:	225-612-6880

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. JONUA CLARK
Credential	:
Telephone Number	:	225-366-0077

Provider Enumeration Date	:	03/13/2009
Last Update Date	:	06/28/2023

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