=====================================================
General NPI Number Information
=====================================================
NPI Number | 1962730978
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABB HEALTHCARE SERVICES. LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/02/2009
-----------------------------------------------------
Last Update Date | 04/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 801 K AVE STE 10
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75074-1307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-340-4444
-----------------------------------------------------
Fax | 866-904-2927
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 801 K AVE STE 10
-----------------------------------------------------
City | PLANO
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 75074-1307
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 214-340-4444
-----------------------------------------------------
Fax | 888-340-3704
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | MR. WILLIAM AIYEOJENKU
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 214-340-4444
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 013310
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------