Provider Demographics
NPI:1568831147
Name:ABOVE AND BEYOND CARE LLC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-756-0008
Mailing Address - Street 1:23 N OAKS PLZ STE 226
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63121-2917
Mailing Address - Country:US
Mailing Address - Phone:314-756-0008
Mailing Address - Fax:314-756-0009
Practice Address - Street 1:23 N OAKS PLZ STE 226
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63121-2917
Practice Address - Country:US
Practice Address - Phone:314-756-0008
Practice Address - Fax:314-756-0009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-24
Last Update Date:2021-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1568831147Medicaid