Provider Demographics
NPI:1356941231
Name:ABBAI HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:ABBAI HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SINTAYEHU
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEBE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:703-786-0891
Mailing Address - Street 1:6024 STODDARD CT APT 202
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5612
Mailing Address - Country:US
Mailing Address - Phone:703-786-0891
Mailing Address - Fax:703-594-8532
Practice Address - Street 1:6395 LITTLE RIVER TPKE
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-5003
Practice Address - Country:US
Practice Address - Phone:703-345-5834
Practice Address - Fax:703-594-8532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health