Provider Demographics
NPI:1487805750
Name:ABOVE & BEYOND ATTENDANT CARE INC
Entity type:Organization
Organization Name:ABOVE & BEYOND ATTENDANT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JONI
Authorized Official - Middle Name:
Authorized Official - Last Name:KENDALL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:765-649-7476
Mailing Address - Street 1:1554 W 500 N
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:IN
Mailing Address - Zip Code:46011-9223
Mailing Address - Country:US
Mailing Address - Phone:765-649-7476
Mailing Address - Fax:
Practice Address - Street 1:420 E 8TH ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:IN
Practice Address - Zip Code:46012-4182
Practice Address - Country:US
Practice Address - Phone:765-622-0999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN080119931253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care