Provider Demographics
NPI:1588717458
Name:ABOVE AND BEYOND HOME HEALTH CARE
Entity type:Organization
Organization Name:ABOVE AND BEYOND HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANGER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DAHM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-468-9504
Mailing Address - Street 1:321 2ND ST. SO
Mailing Address - Street 2:# 102
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83651
Mailing Address - Country:US
Mailing Address - Phone:208-468-9504
Mailing Address - Fax:208-468-9496
Practice Address - Street 1:321 2ND ST S STE 102
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3767
Practice Address - Country:US
Practice Address - Phone:208-468-9504
Practice Address - Fax:208-468-9496
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health