Provider Demographics
NPI:1033506563
Name:AUSABLE IN HOME CARE, LLC
Entity Type:Organization
Organization Name:AUSABLE IN HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:BAMBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-390-9017
Mailing Address - Street 1:9933 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:FREDERIC
Mailing Address - State:MI
Mailing Address - Zip Code:49733-9582
Mailing Address - Country:US
Mailing Address - Phone:989-390-9017
Mailing Address - Fax:989-710-2235
Practice Address - Street 1:9933 ROBERTS RD
Practice Address - Street 2:
Practice Address - City:FREDERIC
Practice Address - State:MI
Practice Address - Zip Code:49733-9582
Practice Address - Country:US
Practice Address - Phone:989-390-9017
Practice Address - Fax:989-710-2235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health