ABA Inc
Organization Active NPI In Home Supportive Care Agency · Washington, DC
NPI 1114014685 · NPPES record last updated Jul 20, 2018
Key facts
- NPI
- 1114014685
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 0388650200 (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
- Organization subpart
- No
Authorized official
- Name
- Mr. John Nwokongoh Foretia, ACCOUNTANT
- Title
- Ceo
- Phone
- (202) 722-1725
Practitioners 348
-
Beja Jaimia Forka, HHA
-
Charluna Ndileba, HHA
Medicare Care Compare: Home health agency
- Listed as
- ABA Home Health Care, Inc
- Ownership
- Proprietary
- Certified
- Jul 13, 2006
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DC
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
- Corporation · Proprietary
- Incorporated
- Jul 6, 2005 in DC
- Enrollment address
- 821 Kennedy St NW
Washington, DC 20011-2913
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Alliance Magne |
Corporate Director |
Jul 4, 2019 | |
| W-2 Managing Employee | Jul 4, 2019 | ||
| Operational/Managerial Control | Jul 4, 2019 | ||
| Charluna N Ndileba |
W-2 Managing Employee |
Jan 1, 2015 | |
| Operational/Managerial Control | Jan 1, 2015 | ||
| Kungang Max |
W-2 Managing Employee |
Jan 1, 2013 | |
| Operational/Managerial Control | Dec 11, 2018 | ||
| John N Foretia |
5% Or Greater Direct Ownership Interest | Jul 6, 2005 | 50% |
| Corporate Officer |
Jul 6, 2005 | ||
| Corporate Director |
Jul 6, 2005 | ||
| W-2 Managing Employee |
Jul 6, 2005 | ||
| Operational/Managerial Control |
Jul 6, 2005 | ||
| Mercy N Njaucha |
5% Or Greater Direct Ownership Interest |
Jul 6, 2005 | 50% |
| Corporate Officer |
Jul 6, 2005 | ||
| Corporate Director |
Jul 6, 2005 | ||
| Operational/Managerial Control |
Jul 6, 2005 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050915000357 | DC | Part a Provider - Home Health Agency | 5890728323 | Practice locations: Washington, DC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 0388650200 | DC | Yes |
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
- ABA HOME HEALTH CARE
Other providers in Washington, DC
- A1Care
- Aaag-Medical Services
- Ahmad Aalam
- Sheryl Aaron
- ABA Home Health Care
- ABA Provider Services
- Nawaf Abaalkhail
- Yemisrach Ababula
- Miguelina Abad Corporan
- Miriam Elizabeth Abadie
All providers in Washington, DC · In Home Supportive Care Agency in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.