MEDICARE: BEYOND CARE SERVICES

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
2	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1871191346
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEYOND CARE SERVICES

Provider Business Mailing Address
First Line	:	728 W HISTORIC MITCHELL ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-3528
Country	:	US
Telephone Number	:	414-930-9321
Fax Number	:	414-930-9431

Provider Business Practice Location Address
First Line	:	728 W HISTORIC MITCHELL ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-3528
Country	:	US
Telephone Number	:	414-930-9321
Fax Number	:	414-930-9431

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ISLAM M SALHAB
Credential	:
Telephone Number	:	414-885-9922

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	10/15/2020

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Directions to “BEYOND CARE SERVICES ” Practice Location

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