Provider Demographics
NPI:1851526677
Name:ABLE ACCESS SALES & SERVICE CORP.
Entity Type:Organization
Organization Name:ABLE ACCESS SALES & SERVICE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:NICHOLAS
Authorized Official - Last Name:HERBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-771-1558
Mailing Address - Street 1:13819 THORNTON MILL RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9662
Mailing Address - Country:US
Mailing Address - Phone:410-771-1558
Mailing Address - Fax:410-771-0321
Practice Address - Street 1:13819 THORNTON MILL RD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-9662
Practice Address - Country:US
Practice Address - Phone:410-771-1558
Practice Address - Fax:410-771-0321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-22
Last Update Date:2009-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD120109332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD644505500Medicaid
MD440004600Medicaid
MD500121800Medicaid