Provider Demographics
NPI:1760932321
Name:ABEL HEALTH CARE INC
Entity Type:Organization
Organization Name:ABEL HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAREASE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-825-0816
Mailing Address - Street 1:521 E JOPPA RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5419
Mailing Address - Country:US
Mailing Address - Phone:410-825-0816
Mailing Address - Fax:410-823-0306
Practice Address - Street 1:521 E JOPPA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-5419
Practice Address - Country:US
Practice Address - Phone:410-825-0816
Practice Address - Fax:410-823-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3421251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD437601300Medicaid