Provider Demographics
NPI:1881960748
Name:ABCCO CARE GROUP INC
Entity type:Organization
Organization Name:ABCCO CARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRCETOR/PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:OMOLARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-212-4638
Mailing Address - Street 1:10110 FORUM WEST DR 426
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036
Mailing Address - Country:US
Mailing Address - Phone:838-212-4638
Mailing Address - Fax:
Practice Address - Street 1:10110 FORUM WEST DR APT 426
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8355
Practice Address - Country:US
Practice Address - Phone:838-212-4638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-26
Last Update Date:2012-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000000Medicaid
TX0000000OtherHCS
TX0000000Medicare Oscar/Certification