Provider Demographics
NPI:1609118751
Name:ABC HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:ABC HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:M
Authorized Official - Last Name:KAMYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-215-5348
Mailing Address - Street 1:9621 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-4637
Mailing Address - Country:US
Mailing Address - Phone:202-215-5348
Mailing Address - Fax:
Practice Address - Street 1:9621 RIVER RD
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-4637
Practice Address - Country:US
Practice Address - Phone:202-215-5348
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-26
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management