Provider Demographics
NPI:1871045575
Name:ABOVE ALL HOMEHEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:ABOVE ALL HOMEHEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCA
Authorized Official - Middle Name:
Authorized Official - Last Name:LONGDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-427-8022
Mailing Address - Street 1:98-15 HORACE HARDING EXPRESS WAY
Mailing Address - Street 2:SUITE 4K
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368
Mailing Address - Country:US
Mailing Address - Phone:646-427-8022
Mailing Address - Fax:718-760-1517
Practice Address - Street 1:98-15 HORACE HARDING EXPRESS WAY
Practice Address - Street 2:SUITE 4K
Practice Address - City:CORONA
Practice Address - State:NY
Practice Address - Zip Code:11368
Practice Address - Country:US
Practice Address - Phone:646-427-8022
Practice Address - Fax:718-760-1517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2228L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2228L001Medicaid