Organization Active NPI

Abraham Care Services

  • Home Health Agency
  • Jacksonville, FL
National Provider Identifier
1053011601
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABRAHAM CARE SERVICES
Doing business as
Abraham care services
Practice address
5332 Grey Heron LN
Jacksonville, FL 32257-3725
Phone
(912) 270-8603
Fax
(844) 367-3195
NPI assigned
Mar 3, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Authorized official

Name
Abraham Dadicho Massebo
Title
Owner
Phone
(912) 270-8603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5332 Grey Heron LN
Jacksonville, FL 32257-3725

Mailing address

5332 Grey Heron LN
Jacksonville, FL 32257-3725
Phone (912) 270-8603

Other names 1

  • Abraham care services Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1053011601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5332 GREY HERON LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573725",
            "telephone_number": "912-270-8603",
            "fax_number": "844-367-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5332 GREY HERON LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322573725",
            "telephone_number": "912-270-8603",
            "fax_number": "844-367-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MASSEBO",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_middle_name": "DADICHO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-270-8603"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abraham care services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.