Provider Demographics
NPI:1053159723
Name:CARE BEYOND MEASURE, LLC
Entity type:Organization
Organization Name:CARE BEYOND MEASURE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PRIMAVERA
Authorized Official - Middle Name:ANNDERA
Authorized Official - Last Name:LADD
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, FNP-C
Authorized Official - Phone:317-480-9091
Mailing Address - Street 1:9021 BAGLEY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46231-4516
Mailing Address - Country:US
Mailing Address - Phone:317-480-9091
Mailing Address - Fax:
Practice Address - Street 1:9021 BAGLEY DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46231-4516
Practice Address - Country:US
Practice Address - Phone:317-480-9091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CARE BEYOND MEASURE HOME CARE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)