Provider Demographics
NPI:1568028207
Name:ABOVE HOME HEALTH LLC
Entity Type:Organization
Organization Name:ABOVE HOME HEALTH LLC
Other - Org Name:ABOVE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATALYA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-350-0123
Mailing Address - Street 1:3709 GRIFFIN LN SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-2192
Mailing Address - Country:US
Mailing Address - Phone:360-350-0123
Mailing Address - Fax:888-470-3277
Practice Address - Street 1:3709 GRIFFIN LN SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-2192
Practice Address - Country:US
Practice Address - Phone:360-350-0123
Practice Address - Fax:888-470-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care