NPIMap

Organization Active NPI

ABA Inc

Doing business as ABA Home Health Care

  • In Home Supportive Care Agency
  • Washington, DC
National Provider Identifier
1114014685
Registry record updated Jul 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0388650200 Issued in DC
Legal business name
ABA INC
Practice address
821 Kennedy St NW
Washington, DC 20011
Phone
(202) 722-1725
Fax
(202) 722-1726
NPI assigned
Oct 6, 2006
Last updated
Jul 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2018

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

Authorized official

Name
Mr. John Nwokongoh Foretia, ACCOUNTANT
Title
Ceo
Phone
(202) 722-1725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X 0388650200 DC Primary

Addresses

Primary practice location

821 Kennedy St NW
Washington, DC 20011

Mailing address

821 Kennedy St NW
Washington, DC 20011-2913
Phone (202) 722-1725

Other names 1

  • ABA HOME HEALTH CARE Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050915000357 DC Part A Provider - Home Health Agency 5890728323 Practice locations: Washington, DC

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114014685. Details of each certification follow.

Home health agency certification: CCN 097061

Legal name
ABA INC
Doing business as
ABA HOME HEALTH CARE AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 13, 2006
Last certification
Aug 20, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 6, 2005 in DC
Enrollment address
821 Kennedy St NW
Washington, DC 20011-2913

Care Compare: Home health agency

Medicare Care Compare
Listed as
ABA Home Health Care, IncCCN 097061 · All quality measures
Ownership
Proprietary
Certified
Jul 13, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alliance Magne Individual Corporate DirectorHR Director Jul 4, 2019
W-2 Managing Employee Jul 4, 2019
Operational/Managerial Control Jul 4, 2019
Charluna N Ndileba Individual W-2 Managing EmployeeBilling Manager Jan 1, 2015
Operational/Managerial Control Jan 1, 2015
Kungang Max Individual W-2 Managing EmployeeOffice Manager Jan 1, 2013
Operational/Managerial Control Dec 11, 2018
John N Foretia Individual 5% Or Greater Direct Ownership Interest Jul 6, 2005 50%
Corporate OfficerCeo Jul 6, 2005
Corporate DirectorBoard President Jul 6, 2005
W-2 Managing EmployeeW2 Administrator Jul 6, 2005
Operational/Managerial ControlCeo Jul 6, 2005
Mercy N Njaucha Individual 5% Or Greater Direct Ownership InterestVice President Jul 6, 2005 50%
Corporate OfficerVice President Jul 6, 2005
Corporate DirectorBoard Vice President Jul 6, 2005
Operational/Managerial ControlAdministrator Jul 6, 2005

Practitioners & affiliated clinicians

Practitioners 348

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 348

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532044800000",
    "number": "1114014685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112913",
            "telephone_number": "202-722-1725",
            "fax_number": "202-722-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 KENNEDY ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20011",
            "telephone_number": "202-722-1725",
            "fax_number": "202-722-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-07-20",
        "status": "A",
        "authorized_official_last_name": "FORETIA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "NWOKONGOH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-722-1725",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "DC",
            "license": "0388650200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABA HOME HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABA HOME HEALTH CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "ABA HOME HEALTH CARE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.