Provider Demographics
NPI:1437296738
Name:ABLE CARE SUPPLY COMPANY
Entity Type:Organization
Organization Name:ABLE CARE SUPPLY COMPANY
Other - Org Name:ABLE CARE SUPPLY COMPANY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:MORNAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-777-5566
Mailing Address - Street 1:246 MAIN AVE
Mailing Address - Street 2:
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-5522
Mailing Address - Country:US
Mailing Address - Phone:973-777-5566
Mailing Address - Fax:973-777-5514
Practice Address - Street 1:246 MAIN AVE
Practice Address - Street 2:
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-5522
Practice Address - Country:US
Practice Address - Phone:973-777-5566
Practice Address - Fax:973-777-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5652308Medicaid
NJ0551860001Medicare NSC