Provider Demographics
NPI:1619459583
Name:ABLE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:ABLE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-499-0228
Mailing Address - Street 1:301 SCHOOL SIDE DR
Mailing Address - Street 2:
Mailing Address - City:THROOP
Mailing Address - State:PA
Mailing Address - Zip Code:18512-1456
Mailing Address - Country:US
Mailing Address - Phone:570-499-0228
Mailing Address - Fax:570-343-4849
Practice Address - Street 1:301 SCHOOL SIDE DR
Practice Address - Street 2:
Practice Address - City:THROOP
Practice Address - State:PA
Practice Address - Zip Code:18512-1456
Practice Address - Country:US
Practice Address - Phone:570-499-0228
Practice Address - Fax:570-343-4849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-06
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care