Provider Demographics
NPI:1962730978
Name:ABB HEALTHCARE SERVICES. LLC
Entity type:Organization
Organization Name:ABB HEALTHCARE SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:AIYEOJENKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-340-4444
Mailing Address - Street 1:801 K AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-1307
Mailing Address - Country:US
Mailing Address - Phone:214-340-4444
Mailing Address - Fax:888-340-3704
Practice Address - Street 1:801 K AVE STE 10
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-1307
Practice Address - Country:US
Practice Address - Phone:214-340-4444
Practice Address - Fax:866-904-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013310251E00000X
TX3747P1801X, 3747P1801X, 385H00000X, 385H00000X, 385HR2060X, 252Y00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No252Y00000XAgenciesEarly Intervention Provider Agency
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX330542701Medicaid
TX330542701Medicaid
TX747524Medicare Oscar/Certification
TX6795120001Medicare NSC