ABBTA INC NPI 1073755336

NPI Information

  • NPI: 1073755336
  • Provider Name: ABBTA INC
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: MT. VERNON AFC
  • Address: 5508 MOUNT VERNON AVE
    PORTAGE, MI
    ZIP 49024
  • Phone: (269) 342-5886

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NPI Details

ABBTA INC is an adult care home custodial care facility in Portage, MI. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. ABBTA INC NPI is 1073755336. The provider is registered as an organization entity type.
The provider Is Doing Business As Mt. Vernon Afc.

The provider's business location address is:

5508 MOUNT VERNON AVE
PORTAGE, MI
ZIP 49024-215
Phone: (269) 342-5886

The provider's authorized official is Adebiyi Bill Aina .
The authorized official title is Owner/president and has the following contact phone number (269) 267-7404.

The enumeration date for this NPI number is 4/1/2009 and was last updated on 4/1/2009.

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 License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeAS390290297MICHIGANYes

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
12097746MEDICAIDMICHIGAN

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: 3/30/2025

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