MEDICARE: ABP SENIOR HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407559842
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABP SENIOR HOME CARE INC

Provider Business Mailing Address
First Line	:	25291 PLEASANT VALLEY RD UNIT B
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-1346
Country	:	US
Telephone Number	:	571-786-5554
Fax Number	:	571-786-6007

Provider Business Practice Location Address
First Line	:	25291 PLEASANT VALLEY RD UNIT B
Second Line	:
City	:	CHANTILLY
State	:	VA
Zip	:	20152-1346
Country	:	US
Telephone Number	:	571-786-5554
Fax Number	:	571-786-6007

Authorized Official
Title or Position	:	PRESIDENT
Name	:	PAWAN KUMAR
Credential	:
Telephone Number	:	571-786-5554

Provider Enumeration Date	:	03/24/2023
Last Update Date	:	04/24/2026

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