ABA Homecare Providers, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABA HOMECARE PROVIDERS, INC

Practice address

3900 NW 79TH Ave
Suite 446
Doral, FL 33166-6556

Phone

(305) 594-2171

Fax

(305) 594-2172

NPI assigned

Mar 12, 2009

Last updated

Jan 25, 2010By 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

Mr. Wirlen Alexander Antigua, RN

Title

Director of Nursing/Owner

Phone

(305) 710-3653

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1770724205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 446",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-594-2171",
            "fax_number": "305-594-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 NW 79TH AVE",
            "address_2": "SUITE 446",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666556",
            "telephone_number": "305-594-2171",
            "fax_number": "305-594-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABA HOMECARE PROVIDERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-12",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "ANTIGUA",
        "authorized_official_first_name": "WIRLEN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/OWNER",
        "authorized_official_telephone_number": "305-710-3653",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Doral, FL
• Providers in Doral, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.