Healthcare Provider Details

I. General information

NPI: 1023893757
Provider Name (Legal Business Name): ABOVE ALL HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2023
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23226 PEERLESS DR
SPRING TX
77373-8640
US

IV. Provider business mailing address

23226 PEERLESS DR
SPRING TX
77373-8640
US

V. Phone/Fax

Practice location:
  • Phone: 832-934-4533
  • Fax: 855-377-0239
Mailing address:
  • Phone: 832-934-4533
  • Fax: 855-377-0239

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: LYNETTE WHEATON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 832-934-4533