Active NPI
Abet Life, Inc
- Home Health Agency
- Missouri City, TX
National Provider Identifier
1417239682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ABET LIFE, INC
- Practice address
- 4502 Riverstone Blvd
Ste 502
Missouri City, TX 77459-5205 - Phone
- (281) 431-1900
- Fax
- (281) 715-4900
- NPI assigned
- Sep 14, 2011
- Last updated
- Jan 8, 2025
- 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
- Miss Binny Oonnoonny, RN
- Title
- Director
- Phone
- (281) 431-1900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Respite Care | 385H00000X |
Addresses
Primary practice location
4502 Riverstone Blvd
Ste 502
Missouri City, TX 77459-5205
Mailing address
4502 Riverstone Blvd
Ste 502
Missouri City, TX 77459-5205
Phone (281) 431-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120727000218 | TX | Part A Provider - Home Health Agency | 9739345299 | Practice locations: Missouri City, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1417239682. Details of each certification follow.
Home health agency certification: CCN 747811
- Legal name
- ABET LIFE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Dec 21, 2012
- Last certification
- Dec 4, 2015
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 27, 2011 in TX
- Enrollment address
- 4502 Riverstone Blvd
Suite 502
Missouri City, TX 77459-5200
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Abet Life Inc
- Ownership
- Proprietary
- Certified
- Dec 21, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2037270 | Abet Life Inc | Certificate of waiver | Feb 22, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Binny Oonnoonny | 5% Or Greater Direct Ownership Interest | May 31, 2018 | 100% |
| Corporate Officer | May 31, 2018 | 100% | |
| Corporate Director | May 31, 2018 | 100% | |
| W-2 Managing Employee | Jan 13, 2020 | 100% |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736294400000",
"number": "1417239682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD",
"address_2": "STE 502",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595205",
"telephone_number": "281-431-1900",
"fax_number": "281-715-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 RIVERSTONE BLVD",
"address_2": "STE 502",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774595205",
"telephone_number": "281-431-1900",
"fax_number": "281-715-4900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABET LIFE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-14",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A",
"authorized_official_last_name": "OONNOONNY",
"authorized_official_first_name": "BINNY",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "281-431-1900",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.