Provider Demographics
NPI:1588961049
Name:BEYOND COMPANIONSHIP HEALTHCARE
Entity type:Organization
Organization Name:BEYOND COMPANIONSHIP HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:TYWUNIA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:614-266-0382
Mailing Address - Street 1:5198 WINTER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-8334
Mailing Address - Country:US
Mailing Address - Phone:614-266-0382
Mailing Address - Fax:
Practice Address - Street 1:5198 WINTER CREEK DR
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8334
Practice Address - Country:US
Practice Address - Phone:614-266-0382
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-18
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health