Provider Demographics
NPI:1245403138
Name:ABIB HOSPICE CARE, INC
Entity Type:Organization
Organization Name:ABIB HOSPICE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADEJUMOKE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHINUGA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:832-419-3500
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 660
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2082
Mailing Address - Country:US
Mailing Address - Phone:832-834-6847
Mailing Address - Fax:832-834-6875
Practice Address - Street 1:7322 SOUTHWEST FWY STE 660
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2082
Practice Address - Country:US
Practice Address - Phone:832-834-6847
Practice Address - Fax:832-834-6875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-11
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX017331251G00000X
253Z00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX408905401Medicaid