Provider Demographics
NPI:1265215131
Name:ABISHA DIRECT CARE & SERVICES LLC
Entity type:Organization
Organization Name:ABISHA DIRECT CARE & SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ELAIHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-883-3207
Mailing Address - Street 1:1008 FRISCO HILLS BLVD
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-5333
Mailing Address - Country:US
Mailing Address - Phone:214-883-3207
Mailing Address - Fax:
Practice Address - Street 1:1008 FRISCO HILLS BLVD
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-5333
Practice Address - Country:US
Practice Address - Phone:214-883-3207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-15
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)