# ABOVE AND BEYOND HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750035903
- **Authorized official:** MS. EBONY D JOHNSON MW, LCSW (ADMINISTRATOR)
- **Authorized official phone:** (804) 366-9360

## Contact information

- **Practice address:** 4 S HOLLY AVE, HENRICO, VA 23075
- **Practice address phone:** (804) 573-3613
- **Practice address fax:** (804) 636-6143
- **Mailing address:** 4 S HOLLY AVE, HENRICO, VA 23075
- **Mailing address phone:** (804) 573-3613
- **Mailing address fax:** (804) 636-6143

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/07/2022
- **Last updated:** 10/29/2024