NPIMap

Organization Active NPI

Abba Home Healthcare Solutions LLC

  • Pediatric Skilled Nursing Facility
  • Odenton, MD
National Provider Identifier
1053911925
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
Legal business name
ABBA HOME HEALTHCARE SOLUTIONS LLC
Practice address
1644 Annapolis Rd Ste 4
Odenton, MD 21113-1002
Phone
(240) 743-0343
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Mrs. Boladale O Aiyegbusi
Title
Administrator
Phone
(301) 213-9207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X Primary

Addresses

Primary practice location

1644 Annapolis Rd Ste 4
Odenton, MD 21113-1002

Mailing address

1644 Annapolis Rd Ste 4
Odenton, MD 21113-1002
Phone (240) 743-0343

National Provider Directory

National Provider Directory
Tax ID family
Abba Home Healthcare Solutions LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1053911925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 ANNAPOLIS RD STE 4",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131002",
            "telephone_number": "240-743-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 ANNAPOLIS RD STE 4",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131002",
            "telephone_number": "240-743-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA HOME HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "AIYEGBUSI",
        "authorized_official_first_name": "BOLADALE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "301-213-9207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.