Provider Demographics
NPI:1275269888
Name:ABBACARE AT HOME CORP
Entity Type:Organization
Organization Name:ABBACARE AT HOME CORP
Other - Org Name:ABBACARE AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DPCS
Authorized Official - Prefix:
Authorized Official - First Name:JANE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JAVIER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:916-458-2271
Mailing Address - Street 1:3800 WATT AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2674
Mailing Address - Country:US
Mailing Address - Phone:916-245-2500
Mailing Address - Fax:
Practice Address - Street 1:3800 WATT AVE STE 201
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2674
Practice Address - Country:US
Practice Address - Phone:916-458-2271
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health