Provider Demographics
NPI:1275013229
Name:ABILISHEALTH MCMINNVILLE, LLC
Entity Type:Organization
Organization Name:ABILISHEALTH MCMINNVILLE, LLC
Other - Org Name:ADORATION HOME HEALTH MCMINNVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:S
Authorized Official - Last Name:PEMBERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-272-3466
Mailing Address - Street 1:404 N CHANCERY ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2050
Mailing Address - Country:US
Mailing Address - Phone:931-473-9556
Mailing Address - Fax:615-891-4567
Practice Address - Street 1:404 N CHANCERY ST STE B
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2050
Practice Address - Country:US
Practice Address - Phone:931-473-9556
Practice Address - Fax:931-474-1910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-20
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN265251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health