Provider Demographics
NPI:1720963002
Name:BEYOND HOME CARE SEEVICES
Entity type:Organization
Organization Name:BEYOND HOME CARE SEEVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLIYATU
Authorized Official - Middle Name:
Authorized Official - Last Name:JALLOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-593-8965
Mailing Address - Street 1:3702 LADY DOVA WAY
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774
Mailing Address - Country:US
Mailing Address - Phone:240-593-8965
Mailing Address - Fax:
Practice Address - Street 1:3702 LADY DOVA WAY
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774
Practice Address - Country:US
Practice Address - Phone:240-593-8965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-07
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities