Provider Demographics
NPI:1063007078
Name:ABSTELLE PLUS CAREGIVERS, LLC
Entity type:Organization
Organization Name:ABSTELLE PLUS CAREGIVERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BEATRICE
Authorized Official - Middle Name:
Authorized Official - Last Name:AFREH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-351-5604
Mailing Address - Street 1:3430 E RUSSELL RD STE 324
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-2201
Mailing Address - Country:US
Mailing Address - Phone:413-351-5604
Mailing Address - Fax:
Practice Address - Street 1:3430 E RUSSELL RD STE 324
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-2201
Practice Address - Country:US
Practice Address - Phone:413-351-5604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health