Organization Active NPI

Abasi Home Healthcare, Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1871533273
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
015943 Issued in TX
Legal business name
ABASI HOME HEALTHCARE, INC.
Doing business as
Abasi Home Healthcare, Inc.
Practice address
11110 Petal St
Suite #500
Dallas, TX 75238
Phone
(214) 553-5587
Fax
(214) 553-1679
NPI assigned
Jun 7, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Ms. Christie U. Echikwa
Title
Owner
Phone
(214) 553-5587

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 015943 TX Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

11110 Petal St
Suite #500
Dallas, TX 75238

Mailing address

11110 Petal St
Suite #500
Dallas, TX 75238-2431
Phone (214) 553-5587

Other names 1

  • ABASI HOME HEALTHCARE, INC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060713000024 TX Part A Provider - Home Health Agency 9931112042 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871533273. Details of each certification follow.

Home health agency certification: CCN 747472

Legal name
ABASI HOME HEALTHCARE, INC.
Doing business as
KFORCE HOME HEALTHCARE, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 15, 2010
Last certification
Jun 21, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jan 5, 2006 in TX
Enrollment address
11110 Petal Street
Suite 500
Dallas, TX 75238-2446

Care Compare: Home health agency

Medicare Care Compare
Listed as
Abasi Home HealthcareCCN 747472 · All quality measures
Ownership
Proprietary
Certified
Jul 15, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D1056934Abasi Home Healthcare,Inc11110 Petal Street, Suite 500, Dallas, TX 75238Certificate of waiverJul 27, 2028

National Provider Directory

National Provider Directory

Locations

11110 Petal St
Ste 500
Dallas, TX 75238
Phone (214) 553-5587

3960 Broadway Blvd
Ste 220I
Garland, TX 75043
Phone (214) 929-6656

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
Christie Echikwa Individual 5% Or Greater Direct Ownership Interest Jul 15, 2013 100%
Corporate Officer May 8, 2014 100%
Operational/Managerial Control May 8, 2014

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1871533273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 PETAL ST",
            "address_2": "SUITE #500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752382431",
            "telephone_number": "214-553-5587",
            "fax_number": "214-553-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 PETAL ST",
            "address_2": "SUITE #500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75238",
            "telephone_number": "214-553-5587",
            "fax_number": "214-553-1679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABASI HOME HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "ECHIKWA",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-553-5587",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "015943",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABASI HOME HEALTHCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABASI HOME HEALTHCARE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.