Provider Demographics
NPI:1710593868
Name:ABLE HEALTHCARE
Entity Type:Organization
Organization Name:ABLE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELPHAS
Authorized Official - Middle Name:MULAMBA
Authorized Official - Last Name:ANZEZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-204-3771
Mailing Address - Street 1:1111 ELM ST STE 17
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-1540
Mailing Address - Country:US
Mailing Address - Phone:413-417-7538
Mailing Address - Fax:413-417-7543
Practice Address - Street 1:1111 ELM ST STE 17
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-1540
Practice Address - Country:US
Practice Address - Phone:413-417-7538
Practice Address - Fax:413-417-7543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-23
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health