Provider Demographics
NPI:1871533273
Name:ABASI HOME HEALTHCARE, INC.
Entity type:Organization
Organization Name:ABASI HOME HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:U
Authorized Official - Last Name:ECHIKWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-553-5587
Mailing Address - Street 1:11110 PETAL ST
Mailing Address - Street 2:SUITE #500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75238-2431
Mailing Address - Country:US
Mailing Address - Phone:214-553-5587
Mailing Address - Fax:214-553-1679
Practice Address - Street 1:11110 PETAL ST
Practice Address - Street 2:SUITE #500
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238
Practice Address - Country:US
Practice Address - Phone:214-553-5587
Practice Address - Fax:214-553-1679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015943251E00000X
3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX747472Medicare PIN