Provider Demographics
NPI:1326366568
Name:ABBA HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ABBA HOME HEALTH CARE INC.
Other - Org Name:ABBA AUTHENTIC CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRIZUELA
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:201-200-0935
Mailing Address - Street 1:176 MALLORY AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-1218
Mailing Address - Country:US
Mailing Address - Phone:201-200-0935
Mailing Address - Fax:
Practice Address - Street 1:176 MALLORY AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07304-1218
Practice Address - Country:US
Practice Address - Phone:201-200-0935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-12
Last Update Date:2010-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0101006688251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health