Provider Demographics
NPI:1285684142
Name:ABOVE AND BEYOND HOME HEALTH CARE
Entity Type:Organization
Organization Name:ABOVE AND BEYOND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PROTHE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:785-629-8128
Mailing Address - Street 1:404 CAROLINA ST
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66508-1648
Mailing Address - Country:US
Mailing Address - Phone:785-629-8128
Mailing Address - Fax:
Practice Address - Street 1:404 CAROLINA ST
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:KS
Practice Address - Zip Code:66508-1648
Practice Address - Country:US
Practice Address - Phone:785-629-8128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA058006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health