Provider Demographics
NPI:1427374693
Name:ABOVE ALL ELSE HEALTHCARE RESOURCES INC
Entity Type:Organization
Organization Name:ABOVE ALL ELSE HEALTHCARE RESOURCES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:
Authorized Official - Last Name:IMOISI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-261-8637
Mailing Address - Street 1:2527 VILLAGE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-4093
Mailing Address - Country:US
Mailing Address - Phone:281-261-8637
Mailing Address - Fax:
Practice Address - Street 1:2527 VILLAGE SQUARE DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-4093
Practice Address - Country:US
Practice Address - Phone:281-261-8637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SECRETARY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-04-13
Last Update Date:2010-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========Medicaid