Provider Demographics
NPI:1336830074
Name:ABJA LLC
Entity type:Organization
Organization Name:ABJA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:345-254-4679
Mailing Address - Street 1:21815 OAK PARK TRAILS DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6184
Mailing Address - Country:US
Mailing Address - Phone:281-832-8365
Mailing Address - Fax:
Practice Address - Street 1:21815 OAK PARK TRAILS DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6184
Practice Address - Country:US
Practice Address - Phone:281-832-8365
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care