Provider Demographics
NPI:1588377352
Name:24/7 ABOVE & BEYOND HOME CARE LLC
Entity type:Organization
Organization Name:24/7 ABOVE & BEYOND HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENRIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCOLLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-431-0197
Mailing Address - Street 1:PO BOX 454
Mailing Address - Street 2:
Mailing Address - City:CATAWBA
Mailing Address - State:SC
Mailing Address - Zip Code:29704-0454
Mailing Address - Country:US
Mailing Address - Phone:803-431-0197
Mailing Address - Fax:
Practice Address - Street 1:5547 HOWZE RD
Practice Address - Street 2:
Practice Address - City:CATAWBA
Practice Address - State:SC
Practice Address - Zip Code:29704-7750
Practice Address - Country:US
Practice Address - Phone:803-431-0197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-26
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCIHCP-1809OtherDHEC LICENSE NUMBER
SCIHCP-1809Medicaid