Provider Demographics
NPI:1497267264
Name:ABEL CARE SERVICES INCORPORATED
Entity Type:Organization
Organization Name:ABEL CARE SERVICES INCORPORATED
Other - Org Name:IN HOME PERSONAL SERVICES, IL-04
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:MIDDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-656-4302
Mailing Address - Street 1:64 W END DR
Mailing Address - Street 2:
Mailing Address - City:GILBERTS
Mailing Address - State:IL
Mailing Address - Zip Code:60136-9657
Mailing Address - Country:US
Mailing Address - Phone:847-915-4797
Mailing Address - Fax:847-908-7586
Practice Address - Street 1:64 W END DR
Practice Address - Street 2:
Practice Address - City:GILBERTS
Practice Address - State:IL
Practice Address - Zip Code:60136-9657
Practice Address - Country:US
Practice Address - Phone:847-915-4797
Practice Address - Fax:847-908-7586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3001113253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL3001113OtherILLINOIS DEPARTMENT OF PUBLIC HEALTH LICENSURE