Healthcare Provider Details

I. General information

NPI: 1053943969
Provider Name (Legal Business Name): ABBA HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2020
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 FONTAINEBLEAU BLVD STE 2E
MIAMI FL
33172-4511
US

IV. Provider business mailing address

175 FONTAINEBLEAU BLVD STE 2E
MIAMI FL
33172-4511
US

V. Phone/Fax

Practice location:
  • Phone: 786-674-5308
  • Fax: 305-397-1417
Mailing address:
  • Phone: 786-768-0184
  • Fax: 305-397-1417

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: ANTONIO S CASARIEGO
Title or Position: OWNER
Credential:
Phone: 786-768-0184