Abba Health Care Institute

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

783687 Issued in TX

Legal business name

ABBA HEALTH CARE INSTITUTE

Practice address

12008 Castle Pines LN
Waldorf, MD 20602-3183

Phone

(202) 805-3997

Fax

(240) 607-6760

NPI assigned

Nov 5, 2012

Organization subpart

No

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

Authorized official

Name

Hassana Jones

Title

Administrator

Phone

(202) 805-3997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1352073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352073600000",
    "number": "1669726162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12008 CASTLE PINES LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023183",
            "telephone_number": "202-805-3997",
            "fax_number": "240-607-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12008 CASTLE PINES LN",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206023183",
            "telephone_number": "202-805-3997",
            "fax_number": "240-607-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA HEALTH CARE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-05",
        "last_updated": "2012-11-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HASSANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "202-805-3997"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "783687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Custodial Care Facility in Waldorf, MD
• Providers in Waldorf, MD by specialty
• Custodial Care Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.