Provider Demographics
NPI:1609324458
Name:ABOVE AND BEYOND NETWORK HOME CARE SERVICES INC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND NETWORK HOME CARE SERVICES INC
Other - Org Name:SURE CARE HOME SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-364-7080
Mailing Address - Street 1:1260 IROQUOIS AVE. SUITE 110
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563
Mailing Address - Country:US
Mailing Address - Phone:630-364-7080
Mailing Address - Fax:630-608-2848
Practice Address - Street 1:1260 IROQUOIS AVE. SUITE 110
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-364-7080
Practice Address - Fax:630-608-2848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001287253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care