MEDICARE: BEYOND CARE HAVEN 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1649132226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND CARE HAVEN LLC

Provider Business Mailing Address
First Line	:	501 HIGH ST
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6520
Country	:	US
Telephone Number	:	724-647-4383
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 HIGH ST
Second Line	:
City	:	MCKEESPORT
State	:	PA
Zip	:	15132-6520
Country	:	US
Telephone Number	:	724-647-4383
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ADMINSTRATOR
Name	:	MAKALAH L BEY
Credential	:
Telephone Number	:	724-647-4383

Provider Enumeration Date	:	12/02/2025
Last Update Date	:	12/02/2025

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