Healthcare Provider Details

I. General information

NPI: 1255194890
Provider Name (Legal Business Name): ABOVE AND BEYOND NURSING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 10/27/2024
Certification Date: 10/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

599 CANAL ST STE 6W14
LAWRENCE MA
01840-1278
US

IV. Provider business mailing address

44 GILLIS ST UNIT F
NASHUA NH
03060-6378
US

V. Phone/Fax

Practice location:
  • Phone: 857-248-3552
  • Fax: 857-270-7143
Mailing address:
  • Phone: 978-390-4461
  • Fax: 857-270-7143

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FAITH JOY MUKISA
Title or Position: MANAGER
Credential: BSN
Phone: 978-390-4461