Provider Demographics
NPI:1598833048
Name:ABLE MABEL ASSISTED IN HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:ABLE MABEL ASSISTED IN HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-209-9744
Mailing Address - Street 1:5532 OLD NATIONAL HWY
Mailing Address - Street 2:BLDG. G SUITE 300
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3212
Mailing Address - Country:US
Mailing Address - Phone:404-209-9744
Mailing Address - Fax:404-209-9748
Practice Address - Street 1:5532 OLD NATIONAL HWY
Practice Address - Street 2:BLDG. G SUITE 275
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30349-3212
Practice Address - Country:US
Practice Address - Phone:404-209-9744
Practice Address - Fax:404-209-9748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA031-R-0006251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000857029AMedicaid
GA000857029BMedicaid