MEDICARE: BEYONDFAITH HOMECARE AND REHAB 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	251E00000X	Home Health Agency	018326	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1467437871
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYONDFAITH HOMECARE AND REHAB LLC

Provider Business Mailing Address
First Line	:	5601 EXECUTIVE DR STE 250
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2508
Country	:	US
Telephone Number	:	972-677-3499
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 EXECUTIVE DR STE 250B
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75038-2508
Country	:	US
Telephone Number	:	972-203-8200
Fax Number	:	972-203-8223

Authorized Official
Title or Position	:	CHIEF CLINICAL OFFICER
Name	:	MR. WILLIAM H EDWARDS
Credential	:	RN
Telephone Number	:	214-287-1501

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	11/06/2023

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