MEDICARE: ABBY HOME HEALTH 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	251E00000X	Home Health Agency	289	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1851471981
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABBY HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	7323 BOULDER VIEW LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-745-0054
Fax Number	:	804-745-0388

Provider Business Practice Location Address
First Line	:	7323 BOULDER VIEW LN
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23225-4953
Country	:	US
Telephone Number	:	804-745-0054
Fax Number	:	804-745-0388

Authorized Official
Title or Position	:	EEO
Name	:	MR. ROBERT J MOORE
Credential	:
Telephone Number	:	770-642-6100

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	10/08/2020

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