Provider Demographics
NPI:1952968265
Name:ABOVE AND BEYOND HME CARE SERVICES 11 INC.
Entity type:Organization
Organization Name:ABOVE AND BEYOND HME CARE SERVICES 11 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-742-3828
Mailing Address - Street 1:1218 SUMMIT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-6228
Mailing Address - Country:US
Mailing Address - Phone:201-766-6739
Mailing Address - Fax:201-766-6740
Practice Address - Street 1:1218 SUMMIT AVE STE A
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-6228
Practice Address - Country:US
Practice Address - Phone:201-766-6739
Practice Address - Fax:201-766-6740
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health