Provider Demographics
NPI:1285321901
Name:ABOVECARE COMMUNITY SERVICES INC
Entity type:Organization
Organization Name:ABOVECARE COMMUNITY SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLUKANNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-830-0061
Mailing Address - Street 1:36 FALLS CHAPEL WAY
Mailing Address - Street 2:
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3653
Mailing Address - Country:US
Mailing Address - Phone:410-830-0061
Mailing Address - Fax:
Practice Address - Street 1:36 FALLS CHAPEL WAY
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3653
Practice Address - Country:US
Practice Address - Phone:410-830-0061
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-21
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child