Provider Demographics
NPI:1407220924
Name:ABC HOME HEALTH LLC
Entity Type:Organization
Organization Name:ABC HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIKA
Authorized Official - Middle Name:RAM
Authorized Official - Last Name:DHUNGANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-623-4051
Mailing Address - Street 1:1411 ASPEN DR
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-5607
Mailing Address - Country:US
Mailing Address - Phone:314-452-1591
Mailing Address - Fax:
Practice Address - Street 1:1411 ASPEN DR
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5607
Practice Address - Country:US
Practice Address - Phone:314-452-1591
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-20
Last Update Date:2015-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health