Provider Demographics
NPI:1033210836
Name:A.B.C. HOME CARE & NURSING SERVICES, INC
Entity Type:Organization
Organization Name:A.B.C. HOME CARE & NURSING SERVICES, INC
Other - Org Name:A.B.C. SENIOR SERVICES, PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:V
Authorized Official - Last Name:JORDAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:614-882-3320
Mailing Address - Street 1:5362 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231
Mailing Address - Country:US
Mailing Address - Phone:614-882-3320
Mailing Address - Fax:614-794-3830
Practice Address - Street 1:5362 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231
Practice Address - Country:US
Practice Address - Phone:614-882-3320
Practice Address - Fax:614-794-3830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2336154Medicaid
OH2336154Medicaid