Provider Demographics
NPI:1548697758
Name:ABOVE & BEYOND HOME CARE SOLUTIONS, L.L.C.
Entity type:Organization
Organization Name:ABOVE & BEYOND HOME CARE SOLUTIONS, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MATSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-613-2992
Mailing Address - Street 1:PO BOX 28572
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-0572
Mailing Address - Country:US
Mailing Address - Phone:313-613-2992
Mailing Address - Fax:734-795-6047
Practice Address - Street 1:22071 SYLVAN AVE
Practice Address - Street 2:
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48134-9008
Practice Address - Country:US
Practice Address - Phone:313-613-2992
Practice Address - Fax:734-795-6047
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health