Abet Life, Inc – Home Health Agency

Key facts

NPI: 1417239682
Entity type: Organization (NPI type 2)
Primary specialty: Home Health Agency 251E00000X
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
Organization subpart: No

Authorized official

Name: Miss Binny Oonnoonny, RN
Title: Director
Phone: (281) 431-1900

Medicare Care Compare: Home health agency

Listed as: Abet Life Inc CCN 747811
Ownership: Proprietary
Certified: Dec 21, 2012
Medicare certification status: Active (Provider of Services file)
Services: Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Source: Medicare Care Compare.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA number	Laboratory	Certificate	Expires
45D2037270	Abet Life Inc 4502 Riverstone Blvd, Ste 502, Missouri City, TX 77459	Certificate of waiver	Feb 22, 2028

Medicare participation

Medicare fee-for-service enrollment: Enrolled in TX

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 · Proprietary
Incorporated: Jul 27, 2011 in TX
Enrollment address: 4502 Riverstone Blvd
Suite 502
Missouri City, TX 77459-5200

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 Individual	5% Or Greater Direct Ownership Interest	May 31, 2018	100%
	Corporate Officer Chief Financial Officer	May 31, 2018	100%
	Corporate Director Board President	May 31, 2018	100%
	W-2 Managing Employee Administrator	Jan 13, 2020	100%

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20120727000218	TX	Part a Provider - Home Health Agency	9739345299	Practice locations: Missouri City, TX

National Provider Directory

Locations

4502 Riverstone Blvd
Ste 502
Missouri City, TX 77459
Phone (281) 431-1900

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Agency	251E00000X			Yes
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

Other identifiers

Identifier	Type	State	Issuer
367826001	Medicaid	TX

Other providers in Missouri City, TX

All providers in Missouri City, TX · Home Health Agency in Texas

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
Provider of Services files (CMS): certification status, beds and related CCNs.
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.