Provider Demographics
NPI:1891587671
Name:ABIGAIL HOMECARE INC
Entity type:Organization
Organization Name:ABIGAIL HOMECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWAFUNMILAYO
Authorized Official - Middle Name:O
Authorized Official - Last Name:EBEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-313-2859
Mailing Address - Street 1:1180 LAVACA DR
Mailing Address - Street 2:
Mailing Address - City:FORNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75126-3781
Mailing Address - Country:US
Mailing Address - Phone:682-313-2859
Mailing Address - Fax:
Practice Address - Street 1:1180 LAVACA DR
Practice Address - Street 2:
Practice Address - City:FORNEY
Practice Address - State:TX
Practice Address - Zip Code:75126-3781
Practice Address - Country:US
Practice Address - Phone:682-313-2859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty