Provider Demographics
NPI:1619588621
Name:ABOVE QUALITY HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ABOVE QUALITY HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONTRIC
Authorized Official - Middle Name:V
Authorized Official - Last Name:MCCLENDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-229-6994
Mailing Address - Street 1:5977 WHITESVILLE RD STE 29
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31904-3665
Mailing Address - Country:US
Mailing Address - Phone:706-229-6994
Mailing Address - Fax:866-580-8556
Practice Address - Street 1:5977 WHITESVILLE RD STE 29
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31904-3665
Practice Address - Country:US
Practice Address - Phone:706-229-6994
Practice Address - Fax:866-580-8556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1083033005OtherNPI
GA1619320306OtherNPI