Organization Active NPI

Abel Home Health Care LLC

  • Home Health Agency
  • Woodbridge, VA
National Provider Identifier
1568079663
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABEL HOME HEALTH CARE LLC
Practice address
17016 Gatlin CT
Woodbridge, VA 22191-4446
Phone
(206) 766-0117
NPI assigned
Sep 23, 2020
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Elsa Adal, RN
Title
Mrs.
Phone
(206) 766-0117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

17016 Gatlin CT
Woodbridge, VA 22191-4446

Mailing address

17016 Gatlin CT
Woodbridge, VA 22191-4446
Phone (206) 766-0117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211119001085 VA Part A Provider - Home Health Agency 0042609687 Practice locations: Woodbridge, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568079663. Details of each certification follow.

Home health agency certification: CCN 497800

Legal name
ABEL HOME HEALTH CARE LLC
Doing business as
ABEL HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 2, 2023
Last certification
Feb 16, 2023
Organization structure
LLCProprietary
Incorporated
Sep 6, 2020 in VA
Enrollment address
17016 Gatlin CT
Woodbridge, VA 22191-4446
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abel Home Health Care LLCCCN 497800 · All quality measures
Ownership
-
Certified
Mar 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
49D2277249Abel Home Health Care LLC17016 Gatlin CT, Woodbridge, VA 22191Certificate of waiverFeb 22, 2027

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
Elsa Adal Individual 5% Or Greater Direct Ownership InterestOwner Sep 14, 2020 100%
Corporate OfficerOwner Sep 14, 2020 100%
Corporate DirectorOwner Sep 14, 2020 100%
Operational/Managerial ControlOwner Sep 14, 2020 100%

NPI Registry JSON

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1568079663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17016 GATLIN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914446",
            "telephone_number": "206-766-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17016 GATLIN CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221914446",
            "telephone_number": "206-766-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABEL HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "ADAL",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "MRS.",
        "authorized_official_telephone_number": "206-766-0117",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.