=====================================================
General NPI Number Information
=====================================================
NPI Number | 1548442445
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABOVE ALL HOMECARE AND MEDICAL SUPPLY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/03/2007
-----------------------------------------------------
Last Update Date | 01/09/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 361A WASHINGTON ST
-----------------------------------------------------
City | BRAINTREE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02184-4705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-356-9100
-----------------------------------------------------
Fax | 781-356-9115
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 361A WASHINGTON ST
-----------------------------------------------------
City | BRAINTREE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02184-4705
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-356-9100
-----------------------------------------------------
Fax | 781-356-9115
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | UCHENNA OKWOLOGU
-----------------------------------------------------
Credential | NURSE
-----------------------------------------------------
Telephone | 617-980-3739
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------