MEDICARE: BEYOND HOME CARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1104067438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND HOME CARE

Provider Business Mailing Address
First Line	:	5101 DUNLEA CT
Second Line	:	SUITE 204B
City	:	WILMINGTON
State	:	NC
Zip	:	28405-3448
Country	:	US
Telephone Number	:	910-794-5535
Fax Number	:	910-794-5534

Provider Business Practice Location Address
First Line	:	5101 DUNLEA CT
Second Line	:	SUITE 204B
City	:	WILMINGTON
State	:	NC
Zip	:	28405-3448
Country	:	US
Telephone Number	:	910-794-5535
Fax Number	:	910-794-5534

Authorized Official
Title or Position	:	OWNER/ADMINISTRATIVE DIRECTON
Name	:	MR. JAMES EDWARD HARRIS
Credential	:
Telephone Number	:	910-583-7113

Provider Enumeration Date	:	03/17/2009
Last Update Date	:	03/17/2009

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Directions to “BEYOND HOME CARE ” Practice Location

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