Provider Demographics
NPI:1598174252
Name:ABLE MEDICAL AIDS, INC
Entity Type:Organization
Organization Name:ABLE MEDICAL AIDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SEC/TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-586-2995
Mailing Address - Street 1:1280 MISSOURI AVE N
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-1849
Mailing Address - Country:US
Mailing Address - Phone:727-586-2995
Mailing Address - Fax:727-588-0899
Practice Address - Street 1:1280 MISSOURI AVE N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-1849
Practice Address - Country:US
Practice Address - Phone:727-586-2995
Practice Address - Fax:727-588-0899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-07
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171WH0202X
FL587332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL027843200Medicaid
FL671172396OtherMEDICAID WAIVER
FLR2171OtherBLUE CROSS & BLUE SHIELD
FL671172396OtherMEDICAID WAIVER