Provider Demographics
NPI:1043679467
Name:MUTTAQI ENTERPRISE, INC
Entity Type:Organization
Organization Name:MUTTAQI ENTERPRISE, INC
Other - Org Name:ABC HOME CAREGIVERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBASI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-437-5213
Mailing Address - Street 1:3683 WHITNEY DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-0797
Mailing Address - Country:US
Mailing Address - Phone:817-437-5213
Mailing Address - Fax:
Practice Address - Street 1:3683 WHITNEY DR
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-0797
Practice Address - Country:US
Practice Address - Phone:817-437-5213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-12
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care