ABBA HEALTH CARE INSTITUTE (NPI# 1669726162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669726162 |
| Entity Type | Organization |
| Organization Name | ABBA HEALTH CARE INSTITUTE |
| Practice Address |
12008 Castle Pines Ln Waldorf MD 20602-3183 |
| Practice Telephone | 2028053997 |
| Practice Fax Number | 2406076760 |
| Mailing Telephone | 2028053997 |
| Mailing Fax Number | 2406076760 |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |
| Authorized Official Name | HASSANA JONES (ADMINISTRATOR) |
| Authorized Official Telephone | 2028053997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311Z00000X | Custodial Care Facility | 783687 | TX | Nursing & Custodial Care Facilities |
| Street Address |
12008 CASTLE PINES LN |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447514187 | Daniel Ndamukong | Nursing Home Administrator | 12008 Castle Pines Ln, Waldorf, MD 20602-3183 | 2012-06-27 |
| 1477017085 | Rhoda Palmira Ndamukong | Nurse Practitioner | 12008 Castle Pines Ln, Waldorf, MD 20602-3183 | 2019-01-28 |
| 1821552555 | Helping Hands Health Care, Inc. | Home Health | 12008 Castle Pines Ln, Waldorf, MD 20602-3183 | 2019-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 311Z00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. |
| Notes: Source: Paraphrased from Section 3159 A3 of the Medicare Intermediary Manual. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407219082 | Cozy Home Living, LLC | Custodial Care Facility | 11431 Amherst Ave #1996, Silver Spring, MD 20915 | 2016-04-01 |
| 1457711160 | Adult Day Health, Inc. | Custodial Care Facility | 400b E Gude Dr, Rockville, MD 20850-4363 | 2016-02-24 |
| 1417293507 | Cantys Helping Hands Home Care Services, LLC | Custodial Care Facility | 4015 8th St, Baltimore, MD 21225-2134 | 2012-12-18 |
| 1891055620 | Ganiyu Balogun | Custodial Care Facility | 9410 Washington Blvd, Lanham, MD 20706-3016 | 2012-05-27 |
| 1518159920 | Arirang Adult Medical Day Care | Custodial Care Facility | 9170 Rumsey Rd, Columbia, MD 21045-1928 | 2007-08-10 |
| 1699965673 | Holy Cross Hospital Adult Day Care | Custodial Care Facility | 9805 Dameron Dr, Silver Spring, MD 20902-5717 | 2007-07-26 |
| 1720692767 | Life Force for Older Americans | Custodial Care Facility | 1869 Hawk Ct, Severn, MD 21144-3114 | 2020-09-08 |
| 1437519121 | Adult Day Health, Inc. | Custodial Care Facility | 9075 Guilford Rd, Columbia, MD 21046-3145 | 2016-02-24 |
| 1366802043 | Adult Day Health, Inc. | Custodial Care Facility | 4147 Labyrinth Rd, Baltimore, MD 21215-2202 | 2016-02-24 |
| 1346600012 | Adult Day Health, Inc. | Custodial Care Facility | 1915 Maryland Ave, Baltimore, MD 21218-5916 | 2016-02-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.