Provider Demographics
NPI:1881554699
Name:BEYOND HOMECARE
Entity type:Organization
Organization Name:BEYOND HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MRS
Authorized Official - Prefix:
Authorized Official - First Name:LATONYA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:RAULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-672-4567
Mailing Address - Street 1:206 RUTH LN
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6467
Mailing Address - Country:US
Mailing Address - Phone:229-672-4567
Mailing Address - Fax:
Practice Address - Street 1:206 RUTH LN
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6467
Practice Address - Country:US
Practice Address - Phone:229-672-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-13
Last Update Date:2025-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health