Organization Active NPI

Beyond Venacare Services LLC

  • Primary Care Clinic/Center
  • Crescent City, FL
National Provider Identifier
1689474553
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
BEYOND VENACARE SERVICES LLC
Practice address
405 S Summit St Ste a
Crescent City, FL 32112-3048
Phone
(386) 559-4086
NPI assigned
Mar 18, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Authorized official

Name
Sylvia JaimesNPI 1336965250
Title
Co-Owner/Director
Phone
(386) 559-4086

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
Primary Care Clinic/Center 261QP2300X Primary
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

405 S Summit St Ste a
Crescent City, FL 32112-3048

Mailing address

PO Box 366
Crescent City, FL 32112-0366
Phone (386) 559-4086

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2313375Beyond Venacare Services LLC405 South Summit Street Ste a, Crescent City, FL 32112Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory

Locations

405 S Summit St
Ste A
Crescent City, FL 32112
Phone (386) 559-4086

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750896000000",
    "number": "1689474553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321120366",
            "telephone_number": "386-559-4086",
            "fax_number": "386-698-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S SUMMIT ST STE A",
            "city": "CRESCENT CITY",
            "state": "FL",
            "postal_code": "321123048",
            "telephone_number": "386-559-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND VENACARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A",
        "authorized_official_last_name": "JAIMES",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CO-OWNER/DIRECTOR",
        "authorized_official_telephone_number": "386-559-4086"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.