MEDICARE: ABOVE AND BEYOND, 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841739786
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOVE AND BEYOND, LLC

Provider Business Mailing Address
First Line	:	1818 DEMAREE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3944
Country	:	US
Telephone Number	:	615-775-2356
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 DEMAREE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77029-3944
Country	:	US
Telephone Number	:	615-775-2356
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DINAH BOSTIC
Credential	:
Telephone Number	:	615-775-2356

Provider Enumeration Date	:	02/13/2017
Last Update Date	:	02/13/2017

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Directions to “ABOVE AND BEYOND, LLC ” Practice Location

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