Provider Demographics
NPI:1518337567
Name:ABOVE AND BEYOND HOME HEALTHCARE
Entity Type:Organization
Organization Name:ABOVE AND BEYOND HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GAY
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:757-650-8886
Mailing Address - Street 1:112 W WASHINGTON ST
Mailing Address - Street 2:M07
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-5246
Mailing Address - Country:US
Mailing Address - Phone:757-650-8886
Mailing Address - Fax:
Practice Address - Street 1:112 W WASHINGTON ST
Practice Address - Street 2:M07
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-5246
Practice Address - Country:US
Practice Address - Phone:757-650-8886
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health