=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356989727
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABOVE CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/17/2019
-----------------------------------------------------
Last Update Date | 12/17/2019
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4803 W BURLEIGH ST
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53210-1643
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-204-4000
-----------------------------------------------------
Fax | 414-855-0079
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4803 W BURLEIGH ST
-----------------------------------------------------
City | MILWAUKEE
-----------------------------------------------------
State | WI
-----------------------------------------------------
Zip | 53210-1643
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 414-204-4000
-----------------------------------------------------
Fax | 414-855-0079
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. SHEIKA D ROBY HOPSON
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 414-204-4000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------