Provider Demographics
NPI:1992029417
Name:ABF HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ABF HOME HEALTH SERVICES LLC
Other - Org Name:ALL ABOUT FAMILY HOME HEALTH SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACKSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-477-1402
Mailing Address - Street 1:198 S MAIN ST
Mailing Address - Street 2:#1
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-7917
Mailing Address - Country:US
Mailing Address - Phone:586-477-1402
Mailing Address - Fax:586-477-1413
Practice Address - Street 1:198 S MAIN ST
Practice Address - Street 2:#1
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-7917
Practice Address - Country:US
Practice Address - Phone:586-477-1402
Practice Address - Fax:586-477-1413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1992029417Medicaid
MIOE874OtherBCBS