Active NPI
Beyond Trust Home Care LLC
- Home Health Agency
- Tampa, FL
National Provider Identifier
1770096802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.