Provider Demographics
NPI:1548442445
Name:ABOVE ALL HOMECARE AND MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:ABOVE ALL HOMECARE AND MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:UCHENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKWOLOGU
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:617-980-3739
Mailing Address - Street 1:361A WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4705
Mailing Address - Country:US
Mailing Address - Phone:781-356-9100
Mailing Address - Fax:781-356-9115
Practice Address - Street 1:361A WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4705
Practice Address - Country:US
Practice Address - Phone:781-356-9100
Practice Address - Fax:781-356-9115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2009-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6069790001Medicare NSC