Organization Active NPI

Above and Beyond Residential Living, Inc

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1285936880
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1000000006337 Issued in TN
Legal business name
ABOVE AND BEYOND RESIDENTIAL LIVING, INC
Practice address
315 10TH Ave N
Ste 122
Nashville, TN 37203-3498
Phone
(615) 254-1811
Fax
(615) 254-2818
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Willie Jackson
Title
Program Director
Phone
(615) 254-1811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1000000006337 TN Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

315 10TH Ave N
Ste 122
Nashville, TN 37203-3498

Mailing address

315 10TH Ave N
Ste 122
Nashville, TN 37203-3498
Phone (615) 254-1811

National Provider Directory

National Provider Directory

Locations

315 10th Ave N
Ste 122
Nashville, TN 37203
Phone (615) 254-1811

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1285936880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 10TH AVE N",
            "address_2": "STE 122",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033498",
            "telephone_number": "615-254-1811",
            "fax_number": "615-254-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 10TH AVE N",
            "address_2": "STE 122",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372033498",
            "telephone_number": "615-254-1811",
            "fax_number": "615-254-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND RESIDENTIAL LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "615-254-1811"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "1000000006337",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.