Abbacare Home Health Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

012455 Issued in TX

Legal business name

ABBACARE HOME HEALTH INCORPORATED

Doing business as

Star Home Health

Practice address

610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528

Phone

(469) 523-1373

Fax

(469) 523-1374

NPI assigned

Feb 22, 2007

Last updated

Jun 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rofina Anosike, RPH,PHARMD

Title

Owner

Phone

(469) 523-1373

Specialties & licenses 2

Addresses

Other names 1

• Star Home Health Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437284502. Details of each certification follow.

• CCN 747432 Home health agency · Active · Details

Home health agency certification: CCN 747432

Legal name

ABBACARE HOME HEALTH INCORPORATED

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2010

Last certification

Dec 3, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 5, 2006 in TX

Enrollment address

610 Uptown Blvd
Ste 2000
Cedar Hill, TX 75104-3528
HHA Branch

Listed as

Star Home HealthCCN 747432 · All quality measures

Ownership

Proprietary

Certified

Sep 15, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1437284502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "469-523-1373",
            "fax_number": "469-523-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 UPTOWN BLVD STE 2000",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043528",
            "telephone_number": "469-523-1373",
            "fax_number": "469-523-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBACARE HOME HEALTH INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "ANOSIKE",
        "authorized_official_first_name": "ROFINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-523-1373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RPH,PHARMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "012455",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "TX",
            "license": "012455",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Star Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; 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.

Verify at the official NPI Registry.