Provider Demographics
NPI:1639934433
Name:ABOVE AND BEYOND PATIENT CARE SERVICES
Entity Type:Organization
Organization Name:ABOVE AND BEYOND PATIENT CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATIENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:KATUSHABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-252-9249
Mailing Address - Street 1:19501 RINALDI ST UNIT 71
Mailing Address - Street 2:
Mailing Address - City:PORTER RANCH
Mailing Address - State:CA
Mailing Address - Zip Code:91326-1634
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19501 RINALDI ST UNIT 71
Practice Address - Street 2:
Practice Address - City:PORTER RANCH
Practice Address - State:CA
Practice Address - Zip Code:91326-1634
Practice Address - Country:US
Practice Address - Phone:747-252-9249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care