Provider Demographics
NPI:1548057896
Name:REACHING BEYOND LLC
Entity type:Organization
Organization Name:REACHING BEYOND LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-437-0082
Mailing Address - Street 1:14047 W MONTE VISTA RD
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-5714
Mailing Address - Country:US
Mailing Address - Phone:480-437-0082
Mailing Address - Fax:
Practice Address - Street 1:1460 W PELICAN CT
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286-7302
Practice Address - Country:US
Practice Address - Phone:480-437-0082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REACHING BEYOND LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-21
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities