Provider Demographics
NPI:1558918730
Name:ABBY'S HOME CARE AND STAFFING LLC
Entity Type:Organization
Organization Name:ABBY'S HOME CARE AND STAFFING LLC
Other - Org Name:ALITA HOME CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:HYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-616-2267
Mailing Address - Street 1:2608 WHIRLAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29505-8720
Mailing Address - Country:US
Mailing Address - Phone:843-616-2267
Mailing Address - Fax:
Practice Address - Street 1:1801 W EVANS ST STE D107
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-3376
Practice Address - Country:US
Practice Address - Phone:843-731-9040
Practice Address - Fax:843-731-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-21
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty