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
1	251S00000X	Community/Behavioral Health Agency
2	374U00000X	Home Health Aide
3	251E00000X	Home Health Agency
4	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
5	251B00000X	Case Management Agency
6	103K00000X	Behavior Analyst
7	372600000X	Adult Companion
8	276400000X	Substance Use Disorder Rehabilitation Hospital Unit
9	376J00000X	Homemaker
10	251J00000X	Nursing Care Agency
11	106H00000X	Marriage & Family Therapist
12	385HR2055X	Child Mental Illness Respite Care
13	385HR2065X	Child Physical Disabilities Respite Care
14	106S00000X	Behavior Technician
15	253Z00000X	In Home Supportive Care 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	:	05/07/2026

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