Organization Active NPI

Abba Gentle Healthcare LLC

  • Home Health Agency
  • Houston, TX
National Provider Identifier
1255568978
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
012948 Issued in TX
Legal business name
ABBA GENTLE HEALTHCARE LLC
Practice address
11110 Bellaire Boulevard
Suite 226
Houston, TX 77072-7707
Phone
(832) 276-3033
Fax
(281) 561-8927
NPI assigned
Jun 20, 2009
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Lani Cabral Pasao, RN
Title
Administrator/Don
Phone
(832) 276-3033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 012948 TX Primary

Addresses

Primary practice location

11110 Bellaire Boulevard
Suite 226
Houston, TX 77072-7707

Mailing address

11110 Bellaire Blvd #226
Houston, TX 77072
Phone (832) 369-6811

Other identifiers 1

IdentifierTypeStateIssuer
2916280-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100105000150 TX Part A Provider - Home Health Agency 8628119229 Practice locations: Houston, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255568978. Details of each certification follow.

Home health agency certification: CCN 747580

Legal name
ABBA GENTLE HEALTHCARE LLC
Doing business as
ABBA GENTLE HEALTHCARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 22, 2011
Last certification
May 13, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 2, 2009 in TX
Enrollment address
11110 Bellaire Blvd
Ste 226
Houston, TX 77072-2643

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abba Gentle Healthcare LLCCCN 747580 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Feb 22, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1107667Abba Gentle Healthcare LLC11110 Bellaire Blvd Suite 226, Houston, TX 77072Certificate of waiverNov 9, 2027

National Provider Directory

National Provider Directory

Locations

11110 Bellaire Blvd
Ste 226
Houston, TX 77072
Phone (832) 276-3033

7001 Corporate Dr
Ste 213
Houston, TX 77036
Phone (832) 369-6811

7007 Gulf Fwy
Ste 222A
Houston, TX 77087
Phone (832) 369-6811

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joanna Ymson Individual W-2 Managing EmployeeAlt Administrator Alt Don Nov 29, 2022 100%
Lani Pasao Individual 5% Or Greater Direct Ownership Interest Sep 25, 2013 100%
General Partnership Interest Nov 19, 2009
Abba Gentle Healthcare LLC Organization, Houston, TX Created for acquisition, LLC, Medical provider/supplier 5% Or Greater Direct Ownership Interest Sep 25, 2013 100%
Carmencita Bugtong Candalla Individual W-2 Managing EmployeeAd;Director of Nursing Jul 26, 2023 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1255568978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 BELLAIRE BLVD #226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77072",
            "telephone_number": "832-369-6811",
            "fax_number": "281-561-8927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 BELLAIRE BOULEVARD",
            "address_2": "SUITE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770727707",
            "telephone_number": "832-276-3033",
            "fax_number": "281-561-8927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA GENTLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-20",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "PASAO",
        "authorized_official_first_name": "LANI",
        "authorized_official_middle_name": "CABRAL",
        "authorized_official_title_or_position": "ADMINISTRATOR/DON",
        "authorized_official_telephone_number": "832-276-3033",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2916280-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.