Provider Demographics
NPI:1225130271
Name:ABOVE & BEYOND LLC
Entity Type:Organization
Organization Name:ABOVE & BEYOND LLC
Other - Org Name:ALL ABOUT HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCS/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MICHEL
Authorized Official - Last Name:TYNAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:303-577-0177
Mailing Address - Street 1:2530 SO PARKER RD
Mailing Address - Street 2:#210
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1629
Mailing Address - Country:US
Mailing Address - Phone:303-577-0177
Mailing Address - Fax:303-577-0332
Practice Address - Street 1:2530 SO PARKER RD
Practice Address - Street 2:#210
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1629
Practice Address - Country:US
Practice Address - Phone:303-577-0177
Practice Address - Fax:303-577-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2008-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37292029Medicaid
CO06-7429Medicare ID - Type Unspecified