Healthcare Provider Details

I. General information

NPI: 1063931640
Provider Name (Legal Business Name): ABOVE AND BEYOND ENTERPRISES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6432 WEST 78TH AVE.
ARVADA CO
80003
US

IV. Provider business mailing address

6432 W 78TH AVE
ARVADA CO
80003-2332
US

V. Phone/Fax

Practice location:
  • Phone: 720-495-7692
  • Fax:
Mailing address:
  • Phone: 720-495-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: PATRICIA LYONS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 720-495-7692