Organization Active NPI

Abba in-Home Care Services, LLC

  • Home Health Agency
  • American Canyon, CA
National Provider Identifier
1558042457
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABBA IN-HOME CARE SERVICES, LLC
Practice address
3860 Broadway St Ste 102
American Canyon, CA 94503-4257
Phone
(510) 224-8637
Fax
(877) 904-7574
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Joey H Palma
Title
Care Manager
Phone
(510) 224-8637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3860 Broadway St Ste 102
American Canyon, CA 94503-4257

Mailing address

PO Box 10174
American Canyon, CA 94503-0174
Phone (510) 224-8637

National Provider Directory

National Provider Directory

Locations

3860 Broadway St
Ste 102
American Canyon, CA 94503
Phone (510) 224-8637

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1558042457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10174",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945030174",
            "telephone_number": "510-224-8637",
            "fax_number": "877-904-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BROADWAY ST STE 102",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945034257",
            "telephone_number": "510-224-8637",
            "fax_number": "877-904-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA IN-HOME CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "PALMA",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CARE MANAGER",
        "authorized_official_telephone_number": "510-224-8637"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in American Canyon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.