Provider Demographics
NPI:1104067438
Name:BEYOND HOME CARE
Entity type:Organization
Organization Name:BEYOND HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATIVE DIRECTON
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-583-7113
Mailing Address - Street 1:5101 DUNLEA CT
Mailing Address - Street 2:SUITE 204B
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405-3448
Mailing Address - Country:US
Mailing Address - Phone:910-794-5535
Mailing Address - Fax:910-794-5534
Practice Address - Street 1:5101 DUNLEA CT
Practice Address - Street 2:SUITE 204B
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405-3448
Practice Address - Country:US
Practice Address - Phone:910-794-5535
Practice Address - Fax:910-794-5534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health