Provider Demographics
NPI:1992335574
Name:BEYOND THE BEDSIDE
Entity type:Organization
Organization Name:BEYOND THE BEDSIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:C
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-592-6419
Mailing Address - Street 1:11357 NUCKOLS RD STE. 2063
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059
Mailing Address - Country:US
Mailing Address - Phone:804-592-6419
Mailing Address - Fax:804-492-7450
Practice Address - Street 1:11357 NUCKOLS RD STE. 2063
Practice Address - Street 2:
Practice Address - City:GLEN ALLEN
Practice Address - State:VA
Practice Address - Zip Code:23059
Practice Address - Country:US
Practice Address - Phone:804-592-6419
Practice Address - Fax:804-492-7450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-22
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No372600000XNursing Service Related ProvidersAdult Companion
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1346885696Medicaid