Provider Demographics
NPI:1366199531
Name:ABOVE HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ABOVE HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICKY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:404-804-5638
Mailing Address - Street 1:22 14TH ST NW UNIT 3305
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-4717
Mailing Address - Country:US
Mailing Address - Phone:404-804-5638
Mailing Address - Fax:
Practice Address - Street 1:22 14TH ST NW UNIT 3305
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-4717
Practice Address - Country:US
Practice Address - Phone:404-804-5638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-07
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health