Provider Demographics
NPI:1578955084
Name:ABOVE ALL CARE FACILITY, LLC
Entity Type:Organization
Organization Name:ABOVE ALL CARE FACILITY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OUDINOT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-994-9181
Mailing Address - Street 1:2266 W ANACASA WAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92804-3544
Mailing Address - Country:US
Mailing Address - Phone:310-994-9181
Mailing Address - Fax:714-982-3430
Practice Address - Street 1:1255 BERING ST
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3901
Practice Address - Country:US
Practice Address - Phone:657-216-2379
Practice Address - Fax:714-982-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-21
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility