=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386973840
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABIDING HEALTH CARE SERVICES L.L.C
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/12/2009
-----------------------------------------------------
Last Update Date | 12/12/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9420 ANNAPOLIS RD STE 203
-----------------------------------------------------
City | LANHAM
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20706-3032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-675-9220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 9420 ANNAPOLIS RD STE 203
-----------------------------------------------------
City | LANHAM
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20706-3032
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-675-9220
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. FATTU SALIA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 301-675-9220
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BN1400X
-----------------------------------------------------
Taxonomy Name | Nursing Facility Supplies (DME)
-----------------------------------------------------
License Number | R2850
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 332BP3500X
-----------------------------------------------------
Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
-----------------------------------------------------
License Number | R2850
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number | R2850
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------