Healthcare Provider Details

I. General information

NPI: 1538798335
Provider Name (Legal Business Name): ABOVE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 04/03/2020
Certification Date: 04/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19871 NAUMANN AVE
EUCLID OH
44119-1556
US

IV. Provider business mailing address

19871 NAUMANN AVE
EUCLID OH
44119-1556
US

V. Phone/Fax

Practice location:
  • Phone: 216-450-4907
  • Fax:
Mailing address:
  • Phone: 216-450-4907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: JIMEA BARNUM
Title or Position: OWNER
Credential:
Phone: 216-450-4907