Organization Active NPI

Abi Care Home Health, LLC

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1164428702
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
004704 Issued in TX
Legal business name
ABI CARE HOME HEALTH, LLC
Practice address
2974 LBJ Fwy
Suite 401
Dallas, TX 75234-7602
Phone
(972) 241-2419
NPI assigned
Jun 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2013

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

Authorized official

Name
Olatunbosun Olusegun Osukoya
Title
Ceo/Owner
Phone
(972) 241-2419

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 004704 TX Primary

Addresses

Primary practice location

2974 LBJ Fwy
Suite 401
Dallas, TX 75234-7602

Mailing address

2974 LBJ Fwy
Suite 401
Dallas, TX 75234-7602
Phone (972) 241-2419

Other identifiers 2

IdentifierTypeStateIssuer
024197801MedicaidTX
0000HH9268OtherTXBCBS

Other names 1

  • Abicare Home Health, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2974 LBJ
Ste 401
Dallas, TX 75234
Phone (972) 241-2419

2964 Lyndon B Johnson Fwy
Ste 301
Dallas, TX 75234
Phone (972) 241-2419

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364947200000",
    "number": "1164428702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2974 LBJ FWY",
            "address_2": "SUITE 401",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347602",
            "telephone_number": "972-241-2419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2974 LBJ FWY",
            "address_2": "SUITE 401",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752347602",
            "telephone_number": "972-241-2419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABI CARE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2013-04-03",
        "status": "A",
        "authorized_official_last_name": "OSUKOYA",
        "authorized_official_first_name": "OLATUNBOSUN",
        "authorized_official_middle_name": "OLUSEGUN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "972-241-2419"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "004704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024197801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000HH9268",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abicare Home Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.