Abby Medical Supply

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABBY MEDICAL SUPPLY

Practice address

4931 Autumn HL
Grand Prairie, TX 75052-2445

Phone

(972) 266-5216

Fax

(972) 266-5216

NPI assigned

Feb 2, 2010

Last updated

Feb 2, 2010By 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

Mr. Kelechi N Josephs

Title

Administrator

Phone

(972) 266-5216

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1225360225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 AUTUMN HL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522445",
            "telephone_number": "972-266-5216",
            "fax_number": "972-266-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 AUTUMN HL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750522445",
            "telephone_number": "972-266-5216",
            "fax_number": "972-266-5216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "JOSEPHS",
        "authorized_official_first_name": "KELECHI",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-266-5216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.