Healthcare Provider Details

I. General information

NPI: 1932820420
Provider Name (Legal Business Name): ABOVE ALL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2022
Last Update Date: 09/05/2022
Certification Date: 09/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 INDIAN WOOD CIR STE 200
MAUMEE OH
43537-4055
US

IV. Provider business mailing address

PO BOX 757
MAUMEE OH
43537-0757
US

V. Phone/Fax

Practice location:
  • Phone: 419-380-7053
  • Fax:
Mailing address:
  • Phone: 419-779-7907
  • Fax:

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 Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: BEIONCA SULTAN
Title or Position: OWNER
Credential:
Phone: 419-779-7907