Provider Demographics
NPI:1790018349
Name:ABOVE AND BEYOND HOME CARE SERVICE INC
Entity Type:Organization
Organization Name:ABOVE AND BEYOND HOME CARE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-494-4005
Mailing Address - Street 1:469 CLIFTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-3227
Mailing Address - Country:US
Mailing Address - Phone:201-494-4005
Mailing Address - Fax:201-968-5888
Practice Address - Street 1:469 CLIFTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-3227
Practice Address - Country:US
Practice Address - Phone:201-494-4005
Practice Address - Fax:201-968-5888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0103300251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health