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NPI Code Detail

MEDICARE: ABAYA WELLNESS & HOME HEALTHCARE, LLC

MEDICARE: ABAYA WELLNESS & HOME HEALTHCARE, LLC
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
1251B00000XCase Management Agency
2253Z00000XIn Home Supportive Care Agency
3385HR2055XChild Mental Illness Respite Care
4374U00000XHome Health Aide
5103K00000XBehavior Analyst
6251S00000XCommunity/Behavioral Health Agency
7372600000XAdult Companion
8251J00000XNursing Care Agency
9106S00000XBehavior Technician
10385HR2060XChild Intellectual and/or Developmental Disabilities Respite Care
11276400000XSubstance Use Disorder Rehabilitation Hospital Unit
12376J00000XHomemaker
13385HR2065XChild Physical Disabilities Respite Care
14106H00000XMarriage & Family Therapist
15251E00000XHome Health Agency

General Provider Information

NPI Number : 1942057781
Entity Type Code : Organization
Provider Name (Legal Business Name) : ABAYA WELLNESS & HOME HEALTHCARE, LLC
Provider Business Mailing Address
First Line : 4899 MONTROSE BLVD APT 1509
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6170
Country : US
Telephone Number : 832-847-5273
Fax Number :
Provider Business Practice Location Address
First Line : 4899 MONTROSE BLVD APT 1509
Second Line :
City : HOUSTON
State : TX
Zip : 77006-6170
Country : US
Telephone Number : 832-847-5273
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : JAMELL RICHARD BLAKE
Credential :
Telephone Number : 832-847-5273
Provider Enumeration Date : 04/30/2024
Last Update Date : 11/09/2025

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