Active NPI
Abi Care Home Health, LLC
- Home Health Agency
- Dallas, TX
National Provider Identifier
1164428702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 004704
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 024197801 | Medicaid | TX | |
| 0000HH9268 | Other | TX | BCBS |
Other names 1
- Abicare Home Health, LLC
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Plano, TX
- NPI 1225058589
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.