Healthcare Provider Details
I. General information
NPI: 1013230754
Provider Name (Legal Business Name): ABOVE STANDARD CARE CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2010
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19719 LAJUANA LN
SPRING TX
77388-6119
US
IV. Provider business mailing address
19719 LAJUANA LN
SPRING TX
77388-6119
US
V. Phone/Fax
- Phone: 281-528-0769
- Fax: 281-528-0769
- Phone: 281-528-0769
- Fax: 281-528-0769
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
TERENCE
JONES
FISHER
Title or Position: ADMINISTRATOR
Credential: LVN
Phone: 281-528-0769