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AVICENNA HOME CARE AGENCY LLC
NPI 1003573304
In Home Supportive Care in Rancho Cucamonga, CA

Active since November 21, 2021
8273 WHITE OAK AVE STE P, RANCHO CUCAMONGA, CA 91730(909) 329-2699 Get Directions Write a Review

NPPES record last updated: November 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Avicenna Home Care Agency Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVICENNA HOME CARE AGENCY LLC (NPI 1003573304) is a healthcare organization registered as an in home supportive care in Rancho Cucamonga, California and active in the NPI registry since November 2021. The organization lists Abdoullah Kabbaj, Owner, as its authorized official.

NPPES Registry Identity

NPI1003573304
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameAVICENNA HOME CARE AGENCY LLC
Location Address8273 WHITE OAK AVE STE PRancho Cucamonga, CA 91730-7671
Mailing Address8273 White Oak Ave Ste PRancho Cucamonga, CA 91730-7671 · (909) 329-2699
Phone(909) 329-2699
Organization SubpartNo
Authorized OfficialAbdoullah KabbajOwner · (909) 319-7475
Enumeration DateNovember 21, 2021
NPPES CertifiedNovember 21, 2021
✔ NPI 1003573304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
8273 WHITE OAK AVE STE P, Rancho Cucamonga, CA 91730
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Other Identifiers 1

Other364700107CA · Cdss - Home Care Services Bureau

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avicenna Home Care Agency LLC's NPI number?

The NPI number for Avicenna Home Care Agency LLC is 1003573304. It was assigned to this organization in the NPPES registry on November 21, 2021.

Where is Avicenna Home Care Agency LLC located?

Avicenna Home Care Agency LLC is located at 8273 White Oak Ave Ste P, Rancho Cucamonga, CA 91730. The listed phone number is (909) 329-2699.

What is Avicenna Home Care Agency LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Avicenna Home Care Agency LLC was last updated on November 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.