Healthcare Provider Details

I. General information

NPI: 1598612210
Provider Name (Legal Business Name): ABOVE AND BEYOND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8100 S WOODRIDGE DR
OAK CREEK WI
53154-2715
US

IV. Provider business mailing address

8100 S WOODRIDGE DR
OAK CREEK WI
53154-2715
US

V. Phone/Fax

Practice location:
  • Phone: 414-617-2106
  • Fax: 262-425-1251
Mailing address:
  • Phone: 414-617-2106
  • Fax: 262-425-1251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KAYLA WEDDLE
Title or Position: OWNER
Credential: SUB ADMIN
Phone: 414-617-2106