Provider Demographics
NPI:1427473362
Name:BEYOND HOSPICE CARE INC.
Entity type:Organization
Organization Name:BEYOND HOSPICE CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR DESIGNEE/CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CABRERA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:224-367-9498
Mailing Address - Street 1:7164 CHERRYVALE NORTH BLVD
Mailing Address - Street 2:SUITE B1
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61112-1061
Mailing Address - Country:US
Mailing Address - Phone:815-580-8159
Mailing Address - Fax:815-580-8228
Practice Address - Street 1:7164 CHERRYVALE NORTH BLVD
Practice Address - Street 2:SUITE B1
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61112-1061
Practice Address - Country:US
Practice Address - Phone:815-580-8159
Practice Address - Fax:815-580-8228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-01
Last Update Date:2016-10-27
Deactivation Date:2014-06-06
Deactivation Code:
Reactivation Date:2016-08-29
Provider Licenses
StateLicense IDTaxonomies
IL2003106251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based