Provider Demographics
NPI:1902523715
Name:BEYOND CARE ANGELS, INC.
Entity type:Organization
Organization Name:BEYOND CARE ANGELS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:BINGERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-472-4897
Mailing Address - Street 1:8461 LAKE WORTH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2474
Mailing Address - Country:US
Mailing Address - Phone:561-472-4897
Mailing Address - Fax:
Practice Address - Street 1:8461 LAKE WORTH RD STE 102
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33467-2474
Practice Address - Country:US
Practice Address - Phone:561-472-4897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL908642Medicaid