Provider Demographics
NPI:1831363381
Name:ABBOTT HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:ABBOTT HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KATS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-344-0344
Mailing Address - Street 1:1 KIDDIE DR STE 106
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:MA
Mailing Address - Zip Code:02322-1182
Mailing Address - Country:US
Mailing Address - Phone:781-344-0344
Mailing Address - Fax:781-344-6818
Practice Address - Street 1:1 KIDDIE DR
Practice Address - Street 2:SUITE 106
Practice Address - City:AVON
Practice Address - State:MA
Practice Address - Zip Code:02322-1171
Practice Address - Country:US
Practice Address - Phone:781-344-0344
Practice Address - Fax:781-344-6818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA227513Medicare Oscar/Certification