=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487965414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABIDE HOME CARE SOLUTIONS, L.L.C.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/24/2010
-----------------------------------------------------
Last Update Date | 04/27/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10439 MOSSY BROOK LN
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77433-3607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-745-7914
-----------------------------------------------------
Fax | 281-213-2294
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10439 MOSSY BROOK LN
-----------------------------------------------------
City | CYPRESS
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77433-3607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-745-7914
-----------------------------------------------------
Fax | 281-213-2294
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MRS. MARIA C. SPEAR
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 281-745-7914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------