Provider Demographics
NPI:1891293239
Name:ABOVE THE HORIZON LLC
Entity Type:Organization
Organization Name:ABOVE THE HORIZON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINIATRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOWLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-232-8993
Mailing Address - Street 1:3300 AMBER BAY LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99515-2309
Mailing Address - Country:US
Mailing Address - Phone:907-232-8993
Mailing Address - Fax:907-336-0774
Practice Address - Street 1:3300 AMBER BAY LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99515
Practice Address - Country:US
Practice Address - Phone:907-232-8993
Practice Address - Fax:907-336-0774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-31
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK100480311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility