Provider Demographics
NPI:1982430732
Name:LIVING BEYOND HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:LIVING BEYOND HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:DONYEAL
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-809-0192
Mailing Address - Street 1:102 KILBY AVE # C
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5415
Mailing Address - Country:US
Mailing Address - Phone:757-809-0192
Mailing Address - Fax:757-809-0192
Practice Address - Street 1:102 KILBY AVE # C
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5415
Practice Address - Country:US
Practice Address - Phone:757-809-0192
Practice Address - Fax:757-809-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes385H00000XRespite Care FacilityRespite Care
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty