Provider Demographics
NPI:1497428205
Name:ALL ABOVE HOMEMAKER COMPANION SERVICES LLC
Entity Type:Organization
Organization Name:ALL ABOVE HOMEMAKER COMPANION SERVICES LLC
Other - Org Name:ALL ABOVE HOMEMAKER COMPANION SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRISHA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-825-9315
Mailing Address - Street 1:8601 NW 35TH ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4324
Mailing Address - Country:US
Mailing Address - Phone:954-825-9315
Mailing Address - Fax:
Practice Address - Street 1:8601 NW 35TH ST APT 2
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-4324
Practice Address - Country:US
Practice Address - Phone:954-934-3210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-28
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL110630400Medicaid