Provider Demographics
NPI:1982753471
Name:ABIBANK HOME CARE SERVICES, INC
Entity Type:Organization
Organization Name:ABIBANK HOME CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:OLUSOLA
Authorized Official - Last Name:ALABI-ONI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-484-4144
Mailing Address - Street 1:600 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 300E
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5104
Mailing Address - Country:US
Mailing Address - Phone:410-484-4144
Mailing Address - Fax:410-484-6033
Practice Address - Street 1:600 REISTERSTOWN RD
Practice Address - Street 2:SUITE 300E
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5104
Practice Address - Country:US
Practice Address - Phone:410-484-4144
Practice Address - Fax:410-484-6033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR1186251E00000X
MD0411003251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD40770700Medicaid