Provider Demographics
NPI:1124307467
Name:ABC HEALTH CARE INC
Entity type:Organization
Organization Name:ABC HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAGDISH
Authorized Official - Middle Name:U
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-893-9700
Mailing Address - Street 1:1605 HOLLAND RD STE A1
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1630
Mailing Address - Country:US
Mailing Address - Phone:419-893-9700
Mailing Address - Fax:419-891-4393
Practice Address - Street 1:1605 HOLLAND RD STE A1
Practice Address - Street 2:
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1630
Practice Address - Country:US
Practice Address - Phone:419-893-9700
Practice Address - Fax:419-891-4393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-04
Last Update Date:2011-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0770607Medicaid