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NPI Code Detail

MEDICARE: ABDI'S HEALTHCARE CORP

MEDICARE: ABDI'S HEALTHCARE CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care Agency
2343900000XNon-emergency Medical Transport (VAN)
3385H00000XRespite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1174305858
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABDI'S HEALTHCARE CORP
Provider Business Mailing Address
First Line : 1004 BESSIE ST
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-1533
Country : US
Telephone Number : 817-729-3009
Fax Number :
Provider Business Practice Location Address
First Line : 610 S JENNINGS AVE
Second Line :
City : FORT WORTH
State : TX
Zip : 76104-3209
Country : US
Telephone Number : 817-229-4339
Fax Number : 682-224-2203
Authorized Official
Title or Position : CEO
Name : MRS. LATOYNEKA BROWN
Credential :
Telephone Number : 817-729-3009
Provider Enumeration Date : 10/18/2023
Last Update Date : 08/18/2025

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Directions to “ABDI'S HEALTHCARE CORP ” Practice Location

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