Healthcare Provider Details

I. General information

NPI: 1891300737
Provider Name (Legal Business Name): ABASAP HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 09/08/2020
Certification Date: 09/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E ARAPAHO RD APT 22207
RICHARDSON TX
75081-7708
US

IV. Provider business mailing address

2000 E ARAPAHO RD APT 22207
RICHARDSON TX
75081-7708
US

V. Phone/Fax

Practice location:
  • Phone: 972-670-6238
  • Fax: 214-613-6515
Mailing address:
  • Phone: 972-670-6238
  • Fax: 214-613-6515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MIRIAM E KIMA
Title or Position: OWNER
Credential: HHA
Phone: 972-670-6238