Above and Beyond Homehealth Agency

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

ABOVE AND BEYOND HOMEHEALTH AGENCY

Practice address

1005 Hare Street
Conway, SC 29526

Phone

(252) 565-2944

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By 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

Fatima Muhammad

Title

President

Phone

(252) 565-2944

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1639487127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 JEFFERSON DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278584018",
            "telephone_number": "252-565-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 HARE STREET",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "252-565-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND HOMEHEALTH AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "MUHAMMAD",
        "authorized_official_first_name": "FATIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-565-2944"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Conway, SC
• Providers in Conway, SC by specialty
• Exclusive Provider Organization in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.