Provider Demographics
NPI:1386839595
Name:ABLIX CORP.
Entity Type:Organization
Organization Name:ABLIX CORP.
Other - Org Name:ACCESSIBLE HOME HEALTH CARE OF NORTHERN VIRGINIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:703-934-4460
Mailing Address - Street 1:3975 UNIVERSITY DR
Mailing Address - Street 2:SUITE 415
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2531
Mailing Address - Country:US
Mailing Address - Phone:703-934-4460
Mailing Address - Fax:703-934-4475
Practice Address - Street 1:3975 UNIVERSITY DR
Practice Address - Street 2:SUITE 415
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-2531
Practice Address - Country:US
Practice Address - Phone:703-934-4460
Practice Address - Fax:703-934-4475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-11
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497648Medicare Oscar/Certification