Provider Demographics
NPI:1295031730
Name:ABLECARE MEDICAL, INC.
Entity Type:Organization
Organization Name:ABLECARE MEDICAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DINESH
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-761-2273
Mailing Address - Street 1:7798 READING RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-2141
Mailing Address - Country:US
Mailing Address - Phone:513-761-2273
Mailing Address - Fax:513-761-7820
Practice Address - Street 1:4583 HINCKLEY INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-6009
Practice Address - Country:US
Practice Address - Phone:216-459-2273
Practice Address - Fax:216-459-0399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH022099650332B00000X, 332BC3200X, 332BP3500X, 332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0634650001Medicare PIN