Provider Demographics
NPI:1699158311
Name:ABOVE CARE LLC
Entity type:Organization
Organization Name:ABOVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AUNDDREA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SCHOLEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-882-0128
Mailing Address - Street 1:1711 SCHAEFFER RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37932-1524
Mailing Address - Country:US
Mailing Address - Phone:865-200-4198
Mailing Address - Fax:
Practice Address - Street 1:1711 SCHAEFFER RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37932-1524
Practice Address - Country:US
Practice Address - Phone:865-200-4198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1000000016646253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care