Provider Demographics
NPI:1346507498
Name:ABOVE & BEYOND CARE LLC
Entity Type:Organization
Organization Name:ABOVE & BEYOND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:KEMISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:347-299-0649
Mailing Address - Street 1:490 E 23RD ST APT B5
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-9328
Mailing Address - Country:US
Mailing Address - Phone:347-299-0649
Mailing Address - Fax:
Practice Address - Street 1:490 E 23RD ST APT B5
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-9328
Practice Address - Country:US
Practice Address - Phone:347-299-0649
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-13
Last Update Date:2012-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care