Healthcare Provider Details

I. General information

NPI: 1467023226
Provider Name (Legal Business Name): ABBI CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2021
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27401 LOS ALTOS STE 150
MISSION VIEJO CA
92691-8013
US

IV. Provider business mailing address

27401 LOS ALTOS STE 150
MISSION VIEJO CA
92691-8013
US

V. Phone/Fax

Practice location:
  • Phone: 949-209-9008
  • Fax:
Mailing address:
  • Phone: 949-209-9008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. BAHJAT KSEIBI
Title or Position: CEO
Credential:
Phone: 949-209-9008