Abc Healthcare Services, LLC
Organization Active NPI Home Health Agency · Beltsville, MD
NPI 1013570092 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1013570092
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ABC HEALTHCARE SERVICES, LLC
- Practice address
- 13013 Innisbrook Dr
Beltsville, MD 20705-1195 - Phone
- (402) 624-6010
- NPI assigned
- Apr 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Bharat B Mendpara, RN
- Title
- President
- Phone
- (420) 624-6010
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
13013 Innisbrook Dr
Beltsville, MD 20705-1195
Mailing address
13013 Innisbrook Dr
Beltsville, MD 20705-1195
Phone (678) 468-1078
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56600107-00 | Medicaid | MD |
NPI Registry JSON
{
"created_epoch": "1555372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714089600000",
"number": "1013570092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13013 INNISBROOK DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051195",
"telephone_number": "678-468-1078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13013 INNISBROOK DR",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207051195",
"telephone_number": "402-624-6010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABC HEALTHCARE SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-16",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A",
"authorized_official_last_name": "MENDPARA",
"authorized_official_first_name": "BHARAT",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "420-624-6010",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "56600107-00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.