Provider Demographics
NPI:1255673968
Name:ABELE HOME CARE, LLC
Entity Type:Organization
Organization Name:ABELE HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVERTOVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-906-9609
Mailing Address - Street 1:601 3RD AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-5943
Mailing Address - Country:US
Mailing Address - Phone:720-259-1044
Mailing Address - Fax:720-259-1045
Practice Address - Street 1:601 3RD AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-5943
Practice Address - Country:US
Practice Address - Phone:720-259-1044
Practice Address - Fax:720-259-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-20
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO77001257Medicaid