Provider Demographics
NPI:1891060513
Name:ABOVE & BEYOND HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:ABOVE & BEYOND HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LATEISHA
Authorized Official - Middle Name:ELISE
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA/MA
Authorized Official - Phone:313-522-6967
Mailing Address - Street 1:PO BOX 62
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-0062
Mailing Address - Country:US
Mailing Address - Phone:313-914-2835
Mailing Address - Fax:
Practice Address - Street 1:9243 CORNELL ST
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-3476
Practice Address - Country:US
Practice Address - Phone:313-914-2835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI04474E253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care