Provider Demographics
NPI:1902671910
Name:ABBY HOME CARE, LLC
Entity Type:Organization
Organization Name:ABBY HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADDISON
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:BACHELORS OF SCIENCE
Authorized Official - Phone:337-258-2449
Mailing Address - Street 1:9121 INTERLINE AVE STE 5A
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-1973
Mailing Address - Country:US
Mailing Address - Phone:337-258-2449
Mailing Address - Fax:
Practice Address - Street 1:9121 INTERLINE AVE STE 5A
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-1973
Practice Address - Country:US
Practice Address - Phone:337-258-2449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services