Provider Demographics
NPI:1871371245
Name:BEYONDCAREGIVER HEALTHCARE LLC
Entity type:Organization
Organization Name:BEYONDCAREGIVER HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRISCILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASARE
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:732-421-3200
Mailing Address - Street 1:376 SHADYNOOK ST FL 1
Mailing Address - Street 2:
Mailing Address - City:KEYPORT
Mailing Address - State:NJ
Mailing Address - Zip Code:07735-5165
Mailing Address - Country:US
Mailing Address - Phone:732-421-3200
Mailing Address - Fax:
Practice Address - Street 1:376 SHADYNOOK ST FL 1
Practice Address - Street 2:
Practice Address - City:KEYPORT
Practice Address - State:NJ
Practice Address - Zip Code:07735-5165
Practice Address - Country:US
Practice Address - Phone:732-847-4750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-18
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health