Provider Demographics
NPI:1437342037
Name:A & B HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:A & B HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES./CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ PENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-887-2659
Mailing Address - Street 1:1051 W 29TH ST
Mailing Address - Street 2:#2
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-5057
Mailing Address - Country:US
Mailing Address - Phone:305-887-2659
Mailing Address - Fax:305-887-2677
Practice Address - Street 1:1051 W 29TH ST
Practice Address - Street 2:#2
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-5057
Practice Address - Country:US
Practice Address - Phone:305-887-2659
Practice Address - Fax:305-887-2677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29992826251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651731500Medicaid
FLHHA299992826OtherHOME HEALTH AGENCY