Provider Demographics
NPI:1013570092
Name:ABC HELTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:ABC HELTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHARAT
Authorized Official - Middle Name:B
Authorized Official - Last Name:MENDPARA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:420-624-6010
Mailing Address - Street 1:13013 INNISBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1195
Mailing Address - Country:US
Mailing Address - Phone:678-468-1078
Mailing Address - Fax:
Practice Address - Street 1:13013 INNISBROOK DR
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1195
Practice Address - Country:US
Practice Address - Phone:402-624-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-16
Last Update Date:2019-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD56600107-00Medicaid