Provider Demographics
NPI:1851129118
Name:ABOVE AVERAGE HOME CARE LLC
Entity type:Organization
Organization Name:ABOVE AVERAGE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:TOTO
Authorized Official - Last Name:KPATOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-477-8832
Mailing Address - Street 1:400 S OAK ST APT 1219
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:TX
Mailing Address - Zip Code:76262-6738
Mailing Address - Country:US
Mailing Address - Phone:484-477-8832
Mailing Address - Fax:
Practice Address - Street 1:400 S OAK ST APT 1219
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:TX
Practice Address - Zip Code:76262-6738
Practice Address - Country:US
Practice Address - Phone:484-477-8832
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-26
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care