Provider Demographics
NPI:1083405294
Name:BEYOND THE SCARS LLC
Entity type:Organization
Organization Name:BEYOND THE SCARS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & RN
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:435-230-2571
Mailing Address - Street 1:1554 SHASTA ST
Mailing Address - Street 2:
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83201-2249
Mailing Address - Country:US
Mailing Address - Phone:208-851-3454
Mailing Address - Fax:
Practice Address - Street 1:1056 S MAIN ST
Practice Address - Street 2:
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83204-3553
Practice Address - Country:US
Practice Address - Phone:208-851-3454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-15
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty