ABRA HEALTH LLC NPI 1114581386

NPI Information

NPI: 1114581386
Provider Name: ABRA HEALTH LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
8636 N 59TH AVE
GLENDALE, AZ
ZIP 85302
Phone: (602) 518-0214
Get Directions

ABRA HEALTH LLC is a day training developmentally disabled services in Glendale, AZ. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. ABRA HEALTH LLC NPI is 1114581386. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8636 N 59TH AVE
GLENDALE, AZ
ZIP 85302-404
Phone: (602) 518-0214

The provider's authorized official is Da'mond Gadson .
The authorized official title is Owner and has the following contact phone number (602) 518-0214.

The enumeration date for this NPI number is 4/23/2019 and was last updated on 8/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	251B00000X	Case Management		No
4	251E00000X	Home Health		No
5	251K00000X	Public Health or Welfare		No
6	253Z00000X	In Home Supportive Care		No
7	261QA0600X	Clinic/Center	Adult Day Care	No
8	261QC1500X	Clinic/Center	Community Health	No
9	261QD1600X	Clinic/Center	Developmental Disabilities	No
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
11	261QM0850X	Clinic/Center	Adult Mental Health	No
12	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
13	261QP2300X	Clinic/Center	Primary Care	No
14	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No
15	251C00000X	Day Training, Developmentally Disabled Services		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	008085	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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