MEDICARE: ABOVE ALL CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1720897879
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE ALL CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	1211 TECH BLVD STE 164
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	813-481-1691
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 TECH BLVD STE 164
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33619-7846
Country	:	US
Telephone Number	:	813-481-1691
Fax Number	:	813-522-3830

Authorized Official
Title or Position	:	OWNER
Name	:	KENITRA VAUGHN
Credential	:	RN
Telephone Number	:	813-481-1691

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	01/26/2026

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Directions to “ABOVE ALL CARE SERVICES LLC ” Practice Location

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