Provider Demographics
NPI:1972906535
Name:ABC HEALTHCARE PROGRAMS
Entity type:Organization
Organization Name:ABC HEALTHCARE PROGRAMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUELA
Authorized Official - Middle Name:
Authorized Official - Last Name:KOYFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-591-2214
Mailing Address - Street 1:1173 N PRICE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63132-2301
Mailing Address - Country:US
Mailing Address - Phone:314-569-1899
Mailing Address - Fax:314-569-9026
Practice Address - Street 1:1173 N PRICE RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2301
Practice Address - Country:US
Practice Address - Phone:314-569-1899
Practice Address - Fax:314-569-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-26
Last Update Date:2014-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty