Provider Demographics
NPI:1134171309
Name:ABBY HEALTH CARE, INC.
Entity type:Organization
Organization Name:ABBY HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:SLAMPAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-439-2229
Mailing Address - Street 1:287 EDISON ST
Mailing Address - Street 2:
Mailing Address - City:UNIONTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15401-2582
Mailing Address - Country:US
Mailing Address - Phone:724-439-2229
Mailing Address - Fax:
Practice Address - Street 1:287 EDISON ST
Practice Address - Street 2:
Practice Address - City:UNIONTOWN
Practice Address - State:PA
Practice Address - Zip Code:15401-2582
Practice Address - Country:US
Practice Address - Phone:724-439-2229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA725505251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009803140002Medicaid
PA770OtherBLUE CROSS/BLUE SHIELLD
PA770OtherBLUE CROSS/BLUE SHIELLD