Healthcare Provider Details

I. General information

NPI: 1922588300
Provider Name (Legal Business Name): ABRAMS HEALTHCARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2018
Last Update Date: 07/25/2025
Certification Date: 07/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9696 SKILLMAN STREET SUITE 150
DALLAS TX
75243
US

IV. Provider business mailing address

9696 SKILLMAN STREET SUITE 150
DALLAS TX
75243
US

V. Phone/Fax

Practice location:
  • Phone: 972-310-6070
  • Fax: 972-982-2519
Mailing address:
  • Phone: 972-310-6070
  • Fax: 972-982-2519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: GRACE EWELIKE
Title or Position: ALTERNATE ADMINISTRATOR
Credential: LVN
Phone: 972-310-6070