Provider Demographics
NPI:1649202870
Name:ABL HOMEHEALTH SERVICES INC
Entity Type:Organization
Organization Name:ABL HOMEHEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BLESSING
Authorized Official - Middle Name:
Authorized Official - Last Name:AMUSHIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-498-8666
Mailing Address - Street 1:9888 BISSONNET ST
Mailing Address - Street 2:STE 135
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8247
Mailing Address - Country:US
Mailing Address - Phone:281-498-8666
Mailing Address - Fax:281-498-4367
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:STE 135
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:281-498-8666
Practice Address - Fax:281-498-4367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-07
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009575251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX009575OtherSTATE LICENSE
TX45D1036712OtherCLIA ID NUMBER
TX457954Medicare ID - Type UnspecifiedPROVIDER NUMBER