Provider Demographics
NPI:1891296448
Name:ABOVE & BEYOND HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:ABOVE & BEYOND HOME HEALTHCARE LLC
Other - Org Name:ABOVE & BEYOND HOME HEALTHCARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-683-7949
Mailing Address - Street 1:2427 SPRINGHILL LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136-5219
Mailing Address - Country:US
Mailing Address - Phone:314-683-7949
Mailing Address - Fax:
Practice Address - Street 1:2427 SPRINGHILL LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136-5219
Practice Address - Country:US
Practice Address - Phone:314-683-7949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-27
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health