Provider Demographics
NPI:1417491572
Name:C&A INC., D/B/A ABBY HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:C&A INC., D/B/A ABBY HEALTH SERVICES, INC.
Other - Org Name:ABBY HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SLAMPAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-439-0667
Mailing Address - Street 1:289 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2582
Mailing Address - Country:US
Mailing Address - Phone:724-439-0667
Mailing Address - Fax:724-439-0667
Practice Address - Street 1:289 EDISON ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2582
Practice Address - Country:US
Practice Address - Phone:724-439-0667
Practice Address - Fax:724-439-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-08
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA13163601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001692850Medicaid