Organization Active NPI

Beyondtrust Healthcare Services LLC

  • Developmentally Disabled Services Day Training Agency
  • Reynoldsburg, OH
National Provider Identifier
1407608664
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BEYONDTRUST HEALTHCARE SERVICES LLC
Practice address
1801 Century City E # Pat4
Reynoldsburg, OH 43068-4428
Phone
(646) 249-1936
NPI assigned
Apr 2, 2024
Last updated
Apr 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mamadouba ConteNPI 1548011133
Title
Doo
Phone
(646) 249-1936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary
Home Health Agency 251E00000X NU

Addresses

Primary practice location

1801 Century City E # Pat4
Reynoldsburg, OH 43068-4428

Mailing address

1801 Century City E # Pat4
Reynoldsburg, OH 43068-4428
Phone (646) 249-1936

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1407608664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 CENTURY CITY E # PAT4",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684428",
            "telephone_number": "646-249-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CENTURY CITY E # PAT4",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684428",
            "telephone_number": "646-249-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYONDTRUST HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "CONTE",
        "authorized_official_first_name": "MAMADOUBA",
        "authorized_official_title_or_position": "DOO",
        "authorized_official_telephone_number": "646-249-1936"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.