Organization Active NPI

Abet Life, Inc

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1417239682
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 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
Last updated
Jan 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 IncCCN 747811 · All quality measures
Ownership
Proprietary
Certified
Dec 21, 2012
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
45D2037270Abet Life Inc4502 Riverstone Blvd, Ste 502, Missouri City, TX 77459Certificate of waiverFeb 22, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Binny Oonnoonny Individual 5% Or Greater Direct Ownership Interest May 31, 2018 100%
Corporate OfficerChief Financial Officer May 31, 2018 100%
Corporate DirectorBoard President May 31, 2018 100%
W-2 Managing EmployeeAdministrator 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

Verify at the official NPI Registry.