Provider Demographics
NPI:1659865756
Name:ABA HOME HEALTH CARE
Entity Type:Organization
Organization Name:ABA HOME HEALTH CARE
Other - Org Name:ABA HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:
Authorized Official - First Name:JOHN-PAUL
Authorized Official - Middle Name:AFUNGCHWI
Authorized Official - Last Name:ALINGWA
Authorized Official - Suffix:
Authorized Official - Credentials:JA
Authorized Official - Phone:240-770-5770
Mailing Address - Street 1:821 KENNEDY ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-2913
Mailing Address - Country:US
Mailing Address - Phone:240-770-5770
Mailing Address - Fax:
Practice Address - Street 1:821 KENNEDY ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-2913
Practice Address - Country:US
Practice Address - Phone:240-770-5770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-21
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD112068469261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service