Provider Demographics
NPI:1417239682
Name:ABET LIFE, INC
Entity Type:Organization
Organization Name:ABET LIFE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:BINNY
Authorized Official - Middle Name:
Authorized Official - Last Name:OONNOONNY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-431-1900
Mailing Address - Street 1:4502 RIVERSTONE BLVD
Mailing Address - Street 2:STE 502
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-5205
Mailing Address - Country:US
Mailing Address - Phone:281-431-1900
Mailing Address - Fax:281-715-4900
Practice Address - Street 1:4502 RIVERSTONE BLVD
Practice Address - Street 2:STE 502
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-5205
Practice Address - Country:US
Practice Address - Phone:281-431-1900
Practice Address - Fax:281-715-4900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX367826001Medicaid
TX747811Medicare Oscar/Certification