Provider Demographics
NPI:1649586223
Name:ENABLE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:ENABLE HOME HEALTHCARE, LLC
Other - Org Name:ENABLE HOME HEALTHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVEEN
Authorized Official - Middle Name:C
Authorized Official - Last Name:BAGH
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:214-364-5877
Mailing Address - Street 1:408 BLACK CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5605
Mailing Address - Country:US
Mailing Address - Phone:214-364-5877
Mailing Address - Fax:
Practice Address - Street 1:408 BLACK CASTLE DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75056-5605
Practice Address - Country:US
Practice Address - Phone:214-364-5877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-20
Last Update Date:2012-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX013848251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health