Abc Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABC HOME CARE INC

Practice address

2800 N Macdill Ave Ste U
Tampa, FL 33607

Phone

(813) 374-9092

Fax

(813) 374-8896

NPI assigned

Nov 14, 2013

Last updated

Jul 11, 2018By 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

Yelena Chacon

Title

Ceo

Phone

(813) 374-9092

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982034716. Details of each certification follow.

• CCN 683156 Home health agency · Active · Details

Home health agency certification: CCN 683156

Legal name

ABC HOME CARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 12, 2014

Last certification

Nov 5, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Sep 11, 2013 in FL

Enrollment address

2800 N Macdill Ave
Ste 4
Tampa, FL 33607-2208

Listed as

Abc Home Care IncCCN 683156 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Dec 12, 2014

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

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

{
    "created_epoch": "1384387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1982034716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 N MACDILL AVE STE U",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336072208",
            "telephone_number": "813-374-9092",
            "fax_number": "813-374-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 N MACDILL AVE STE U",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-374-9092",
            "fax_number": "813-374-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-14",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "YELENA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-374-9092"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mahmoud H Abdalla, MD
• Enas Abdallah, MD
• Reem Abdallah, MD

• Home Health Agency in Tampa, FL
• Providers in Tampa, 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 Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.