Healthcare Provider Details

I. General information

NPI: 1962730978
Provider Name (Legal Business Name): ABB HEALTHCARE SERVICES. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 04/25/2025
Certification Date: 04/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 K AVE STE 10
PLANO TX
75074-1307
US

IV. Provider business mailing address

801 K AVE STE 10
PLANO TX
75074-1307
US

V. Phone/Fax

Practice location:
  • Phone: 214-340-4444
  • Fax: 866-904-2927
Mailing address:
  • Phone: 214-340-4444
  • Fax: 888-340-3704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number013310
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. WILLIAM AIYEOJENKU
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-340-4444