OrganizationActive
Above and Beyond Senior Care LLC
NPI 1134919749 · Assisted Living Facility · Stockton, CA
Provider details
- NPI number
- 1134919749
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melissa Phanouvong, LLC Member(209) 918-7694
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2027 Bur Oak Pl
Stockton, CA 95206-6386
Phone: (209) 918-7694
Street-level locationGet directions
Mailing address
231 Market Pl Ste 316
San Ramon, CA 94583-4743
Other names (DBA / former)
- Doing business as
- Above and Beyond Senior Care
Registry dates
- Enumerated
- 2025-05-07
- Last updated
- 2025-05-14
- Certified
- 2025-05-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.