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 NPI 1720954951
Title
President
Phone
(420) 624-6010

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
56600107-00MedicaidMD

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 26, 2024.

{
    "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": []
}

Other providers in Beltsville, MD

All providers in Beltsville, MD · Home Health Agency in Maryland

Sources for this page

Verify at the official NPI Registry.