Organization Active NPI

Abbi Home Care, Inc.

Doing business as Abbi Home Care

  • Home Health Agency
  • Benbrook, TX
National Provider Identifier
1659327757
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009117 Issued in TX
Legal business name
ABBI HOME CARE, INC.
Doing business as
Abbi Home Care
Practice address
6453 Southwest Blvd.
Benbrook, TX 76132
Phone
(817) 377-0889
Fax
(817) 377-0890
NPI assigned
May 26, 2006
Last updated
Nov 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Marc Alan Medders
Title
Ceo
Phone
(817) 377-0889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009117 TX Primary

Addresses

Primary practice location

6453 Southwest Blvd.
Benbrook, TX 76132

Mailing address

6453 Southwest Blvd
Benbrook, TX 76132
Phone (817) 377-0889

Other names 1

  • Abbi Home Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

6453 Southwest Blvd
Benbrook, TX 76132
Phone (817) 377-0889

5608 Malvey Ave
Ste 304
Fort Worth, TX 76107
Phone (817) 377-0889

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jan 30, 2018 Change of OwnershipThis provider was the seller Reliant at HomeCCN 673171, TX, NPI 1396252573

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1659327757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6453 SOUTHWEST BLVD",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-377-0889",
            "fax_number": "817-377-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6453 SOUTHWEST BLVD.",
            "city": "BENBROOK",
            "state": "TX",
            "postal_code": "76132",
            "telephone_number": "817-377-0889",
            "fax_number": "817-377-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBI HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "MEDDERS",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-377-0889"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbi Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benbrook, TX

Sources for this page

Verify at the official NPI Registry.