Avicenna Home Care Agency LLC
NPI 1003573304ActiveOrganization· In Home Supportive Care· Rancho Cucamonga, CA
In Home Supportive Care in Rancho Cucamonga, California, registered in NPPES in November 2021. The authorized official on file is Abdoullah Kabbaj, Owner.
Overview
| NPI | 1003573304 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 21, 2021 |
| Last updated in NPPES | Nov 21, 2021 |
| Certified by provider | Nov 21, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| In Home Supportive Care Primary | 253Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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