Provider Demographics
NPI:1922970433
Name:ABBEY HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:ABBEY HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FALASTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:IMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-730-6763
Mailing Address - Street 1:6820 COMMERCIAL DRIVE,
Mailing Address - Street 2:STE D
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22151
Mailing Address - Country:US
Mailing Address - Phone:571-730-6763
Mailing Address - Fax:571-730-6330
Practice Address - Street 1:6820 COMMERCIAL DRIVE,
Practice Address - Street 2:STE D
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22151
Practice Address - Country:US
Practice Address - Phone:571-730-6763
Practice Address - Fax:571-730-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty