Above and Beyond Habilitation Services

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

688118196 Issued in FL

Legal business name

ABOVE AND BEYOND HABILITATION SERVICES

Practice address

1931 Welby Way
Suite 3
Tallahassee, FL 32308-4462

Phone

(850) 386-9232

Fax

(850) 562-5257

NPI assigned

May 29, 2010

Organization subpart

No

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

Authorized official

Name

Valeisha M. Ellis

Title

Director

Phone

(850) 386-9232

Specialties & licenses 7

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1275091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275091200000",
    "number": "1871812859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 WELBY WAY",
            "address_2": "SUITE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084462",
            "telephone_number": "850-386-9232",
            "fax_number": "850-562-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 WELBY WAY",
            "address_2": "SUITE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084462",
            "telephone_number": "850-386-9232",
            "fax_number": "850-562-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOVE AND BEYOND HABILITATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-29",
        "last_updated": "2010-05-29",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "VALEISHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "850-386-9232"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "688118196",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "FL",
            "license": "688118198",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": "FL",
            "license": "688118196",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "FL",
            "license": "688118196",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "688118196",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "688118196",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "FL",
            "license": "688118101",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688118196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688118101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688118198",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Personal Care Attendant in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Personal Care Attendant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.