Provider Demographics
NPI:1508246745
Name:ABLE HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:ABLE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEPPERNICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-529-5123
Mailing Address - Street 1:16 TAYLOR PL
Mailing Address - Street 2:
Mailing Address - City:WESTPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06880-4313
Mailing Address - Country:US
Mailing Address - Phone:203-529-5123
Mailing Address - Fax:888-761-5161
Practice Address - Street 1:6538 COLLINS AVE.
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33141-4694
Practice Address - Country:US
Practice Address - Phone:203-529-5123
Practice Address - Fax:888-761-5161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT251C00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1912374422OtherNPI