Abol Cottage Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ABOL COTTAGE CARE LLC

Practice address

3106 Fern Brook LN
Rosenberg, TX 77471-9279

Phone

(346) 843-9640

NPI assigned

Aug 17, 2023

Last updated

Aug 17, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Terusew Mekonnen Ayana

Title

Manager

Phone

(346) 843-9640

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1043093560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 FERN BROOK LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774719279",
            "telephone_number": "346-843-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 FERN BROOK LN",
            "city": "ROSENBERG",
            "state": "TX",
            "postal_code": "774719279",
            "telephone_number": "346-843-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOL COTTAGE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "AYANA",
        "authorized_official_first_name": "TERUSEW",
        "authorized_official_middle_name": "MEKONNEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "346-843-9640"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Rosenberg, TX
• Providers in Rosenberg, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.