Healthcare Provider Details

I. General information

NPI: 1114164985
Provider Name (Legal Business Name): ABOVE & BEYOND HOME CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 01/20/2023
Certification Date: 01/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2141 BRYAN VALLEY COMMERCIAL DRIVE
O FALLON MO
63366-4174
US

IV. Provider business mailing address

2003 CRIMSON MEADOWS DR
O FALLON MO
63366-4174
US

V. Phone/Fax

Practice location:
  • Phone: 636-281-2040
  • Fax: 636-281-2041
Mailing address:
  • Phone: 314-368-6881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: TERESSA SYKES
Title or Position: PRESIDENT
Credential:
Phone: 636-281-2040