Healthcare Provider Details
I. General information
NPI: 1639978257
Provider Name (Legal Business Name): ABOVE AND BEYOND CARING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/08/2025
Last Update Date: 03/23/2025
Certification Date: 03/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
44 ALICE DR
CONCORD NH
03303-2031
US
IV. Provider business mailing address
44 ALICE DR
CONCORD NH
03303-2031
US
V. Phone/Fax
- Phone: 912-269-2334
- Fax:
- Phone: 912-269-2334
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 320900000X |
| Taxonomy | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ERINA
BISTA
Title or Position: CEO
Credential:
Phone: 912-269-2334