Provider Demographics
NPI:1396839809
Name:ABILITY HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:ABILITY HEALTH SERVICES, INC
Other - Org Name:ABILITY REHABILITATION
Other - Org Type:Other Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUERRINA
Authorized Official - Suffix:
Authorized Official - Credentials:ATC/L,CSCS,LMT
Authorized Official - Phone:407-688-0070
Mailing Address - Street 1:401 VENTURE DR
Mailing Address - Street 2:C
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-3478
Mailing Address - Country:US
Mailing Address - Phone:386-760-5042
Mailing Address - Fax:386-760-5056
Practice Address - Street 1:401 VENTURE DR
Practice Address - Street 2:C
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-3478
Practice Address - Country:US
Practice Address - Phone:386-763-0084
Practice Address - Fax:386-763-0085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 9182332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5795700002Medicare NSC