Provider Demographics
NPI:1851471981
Name:ABBY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:ABBY HOME HEALTH CARE INC
Other - Org Name:WELCOME HOMECARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-642-6100
Mailing Address - Street 1:7323 BOULDER VIEW LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4953
Mailing Address - Country:US
Mailing Address - Phone:804-745-0054
Mailing Address - Fax:804-745-0388
Practice Address - Street 1:7323 BOULDER VIEW LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4953
Practice Address - Country:US
Practice Address - Phone:804-745-0054
Practice Address - Fax:804-745-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-16
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA289251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA8750513Medicaid
VA4971281Medicaid
VA497455Medicare ID - Type UnspecifiedMEDICARE