Provider Demographics
NPI:1598944084
Name:ABODE HEALTH CARE SERVICES INC
Entity Type:Organization
Organization Name:ABODE HEALTH CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:304-586-9441
Mailing Address - Street 1:3753 WINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:25213-9682
Mailing Address - Country:US
Mailing Address - Phone:304-586-9441
Mailing Address - Fax:304-586-4114
Practice Address - Street 1:3753 WINFIELD RD
Practice Address - Street 2:
Practice Address - City:WINFIELD
Practice Address - State:WV
Practice Address - Zip Code:25213-9682
Practice Address - Country:US
Practice Address - Phone:304-586-9441
Practice Address - Fax:304-586-4114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV028647251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV5266001001Medicaid