Provider Demographics
NPI:1598233272
Name:ABC CAREGIVERS LLC
Entity Type:Organization
Organization Name:ABC CAREGIVERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:609-744-4621
Mailing Address - Street 1:644 MONROE ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-3016
Mailing Address - Country:US
Mailing Address - Phone:609-744-4621
Mailing Address - Fax:
Practice Address - Street 1:203 KINGS HWY E STE B
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1901
Practice Address - Country:US
Practice Address - Phone:609-744-4621
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-11
Last Update Date:2018-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0284200OtherAGENCY LICENSE NUMBER