Organization Active NPI

Abba Healthcare Enterprises, L.L.C.

  • Home Health Agency
  • Fort Worth, TX
National Provider Identifier
1295039030
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABBA HEALTHCARE ENTERPRISES, L.L.C.
Practice address
645 St.Louis. Ave. Suite 200
Fort Worth, TX 76104
Phone
(817) 332-4004
Fax
(817) 332-4224
NPI assigned
Jan 10, 2011
Last updated
Jan 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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

Authorized official

Name
Mrs. Clara Elizabeth Moses, R.N. CNOR
Title
President
Phone
(817) 332-4004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

645 St.Louis. Ave. Suite 200
Fort Worth, TX 76104

Mailing address

2716 County Road 804a
Burleson, TX 76028-1950
Phone (817) 447-8426

National Provider Directory

National Provider Directory

Locations

645 Stlouis Ave Ste 200
Fort Worth, TX 76104
Phone (817) 332-4004

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1295039030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2716 COUNTY ROAD 804A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760281950",
            "telephone_number": "817-447-8426",
            "fax_number": "817-447-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 ST.LOUIS. AVE. SUITE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-332-4004",
            "fax_number": "817-332-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA HEALTHCARE ENTERPRISES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "CLARA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-332-4004",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N. CNOR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.