Provider Demographics
NPI:1083194997
Name:ABOVE AVERAGE HOME CARE LLC
Entity Type:Organization
Organization Name:ABOVE AVERAGE HOME CARE LLC
Other - Org Name:ABOVE AND BEYOND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIDGETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-761-2517
Mailing Address - Street 1:421 W SCHOOL HOUSE LN UNIT 12
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19144-4557
Mailing Address - Country:US
Mailing Address - Phone:267-761-2517
Mailing Address - Fax:
Practice Address - Street 1:421 W SCHOOL HOUSE LN UNIT 12
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19144-4557
Practice Address - Country:US
Practice Address - Phone:267-761-2517
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health