Abol Healthcare LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

ABOL HEALTHCARE LLC

Practice address

85 S Bragg St Ste 200C
Alexandria, VA 22312-2793

Phone

(703) 270-9256

NPI assigned

Apr 11, 2023

Last updated

Apr 11, 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

Eskedar Enyew Kassa

Title

Financial Administrator

Phone

(240) 495-9612

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1114613494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200C",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-270-9256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 S BRAGG ST STE 200C",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122793",
            "telephone_number": "703-270-9256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOL HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "KASSA",
        "authorized_official_first_name": "ESKEDAR",
        "authorized_official_middle_name": "ENYEW",
        "authorized_official_title_or_position": "FINANCIAL ADMINISTRATOR",
        "authorized_official_telephone_number": "240-495-9612"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Nursing Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.