Above & Beyond Homecare Services LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

12796 Issued in CA

Legal business name

ABOVE & BEYOND HOMECARE SERVICES LLC

Practice address

35552 Cornell Dr
Yucaipa, CA 92399-3932

Phone

(909) 206-3104

NPI assigned

Oct 1, 2015

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Carrie Ann Cornell

Title

Owner/Manager/HHA

Phone

(909) 206-3104

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1083084123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35552 CORNELL DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993932",
            "telephone_number": "909-206-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35552 CORNELL DR",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923993932",
            "telephone_number": "909-206-3104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE & BEYOND HOMECARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MANAGER/HHA",
        "authorized_official_telephone_number": "909-206-3104"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "12796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesica Marie Abel
• Laura Abrego
• Sydne Acton
• Tyler James Adame, MD
• James R. Adams IV, MA, MFT
• Abena Nyarko Adom, REGISTERED NURSE

• Health Maintenance Organization in Yucaipa, CA
• Providers in Yucaipa, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.