Healthcare Provider Details

I. General information

NPI: 1568028207
Provider Name (Legal Business Name): ABOVE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2019
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3709 GRIFFIN LN SE
OLYMPIA WA
98501-2192
US

IV. Provider business mailing address

3709 GRIFFIN LN SE
OLYMPIA WA
98501-2192
US

V. Phone/Fax

Practice location:
  • Phone: 360-350-0123
  • Fax: 888-470-3277
Mailing address:
  • Phone: 360-350-0123
  • Fax: 888-470-3277

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 Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NATALYA RUBEL
Title or Position: ADMINISTRATOR
Credential:
Phone: 360-350-0123