Provider Demographics
NPI:1336472075
Name:ABAD GROUP
Entity Type:Organization
Organization Name:ABAD GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHNAZ
Authorized Official - Middle Name:ABAD
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-245-1999
Mailing Address - Street 1:12010 EDGEMERE CIR
Mailing Address - Street 2:
Mailing Address - City:RESTON
Mailing Address - State:VA
Mailing Address - Zip Code:20190-3253
Mailing Address - Country:US
Mailing Address - Phone:804-245-1999
Mailing Address - Fax:804-245-1999
Practice Address - Street 1:12010 EDGEMERE CIR
Practice Address - Street 2:
Practice Address - City:RESTON
Practice Address - State:VA
Practice Address - Zip Code:20190-3253
Practice Address - Country:US
Practice Address - Phone:804-245-1999
Practice Address - Fax:804-245-1999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-14
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health