Organization Active NPI

Beyond Trust Home Care LLC

  • Home Health Agency
  • Tampa, FL
National Provider Identifier
1770096802
Registry record updated Dec 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEYOND TRUST HOME CARE LLC
Practice address
3903 Northdale Blvd Ste 100E
Tampa, FL 33624-1862
Phone
(813) 415-5221
NPI assigned
Nov 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2017

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

Authorized official

Name
Ms. Lakiccia Dunnagan
Title
Administrator
Phone
(813) 415-5221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

3903 Northdale Blvd Ste 100E
Tampa, FL 33624-1862

Mailing address

16350 Bruce B Downs Blvd Ste 47142
Tampa, FL 33647-3207
Phone (813) 415-5221

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1510358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514073600000",
    "number": "1770096802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16350 BRUCE B DOWNS BLVD STE 47142",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473207",
            "telephone_number": "813-415-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 NORTHDALE BLVD STE 100E",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336241862",
            "telephone_number": "813-415-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND TRUST HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-11",
        "last_updated": "2017-12-24",
        "status": "A",
        "authorized_official_last_name": "DUNNAGAN",
        "authorized_official_first_name": "LAKICCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-415-5221",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2017; 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.