Healthcare Provider Details

I. General information

NPI: 1447160098
Provider Name (Legal Business Name): ABH HOMES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142 36TH AVE N
SAINT CLOUD MN
56303-4042
US

IV. Provider business mailing address

15 PARKVILLE AVE STE 400
BROOKLYN NY
11230-1619
US

V. Phone/Fax

Practice location:
  • Phone: 320-291-4584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SIMCHA FELLER
Title or Position: CEO
Credential:
Phone: 718-942-3666