Above and Beyond Care Providers,Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABOVE AND BEYOND CARE PROVIDERS,INC.

Doing business as

Anew Direction Adult Living

Practice address

2300 S Pacific Ave
San Pedro, CA 90731-5936

Phone

(310) 521-9896

Fax

(310) 684-5490

NPI assigned

Jan 21, 2021

Last updated

Sep 27, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ABOVE AND BEYOND CARE PROVIDERS INCAs reported in NPPES

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

Authorized official

Name

Patria Maravilla Dufrenne, RN

Title

Owner

Phone

(310) 521-9896

Specialties & licenses 1

Addresses

Other names 1

• Anew Direction Adult Living Doing business as

Part of

Above and Beyond Care Providersinc

Locations

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1447840715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315936",
            "telephone_number": "310-521-9896",
            "fax_number": "310-684-5490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 S PACIFIC AVE",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907315936",
            "telephone_number": "310-521-9896",
            "fax_number": "310-684-5490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND CARE PROVIDERS,INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ABOVE AND BEYOND CARE PROVIDERS INC",
        "enumeration_date": "2021-01-21",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "DUFRENNE",
        "authorized_official_first_name": "PATRIA",
        "authorized_official_middle_name": "MARAVILLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-521-9896",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anew Direction Adult Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.