Healthcare Provider Details

I. General information

NPI: 1851471981
Provider Name (Legal Business Name): ABBY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7323 BOULDER VIEW LN
RICHMOND VA
23225-4953
US

IV. Provider business mailing address

7323 BOULDER VIEW LN
RICHMOND VA
23225-4953
US

V. Phone/Fax

Practice location:
  • Phone: 804-745-0054
  • Fax: 804-745-0388
Mailing address:
  • Phone: 804-745-0054
  • Fax: 804-745-0388

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number289
License Number StateVA

VIII. Authorized Official

Name: MR. ROBERT J MOORE
Title or Position: EEO
Credential:
Phone: 770-642-6100