MEDICARE: BEYOND BLESSINGS HOMECARE SERVICES LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093517591
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND BLESSINGS HOMECARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1 WINDSOR CV STE 202
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1858
Country	:	US
Telephone Number	:	803-708-0155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 WINDSOR CV STE 202
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29223-1858
Country	:	US
Telephone Number	:	803-708-0155
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CALANDRA CRUEL
Credential	:
Telephone Number	:	704-236-5218

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	11/13/2025

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