Provider Demographics
NPI:1992370407
Name:ABLE, LLC
Entity Type:Organization
Organization Name:ABLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:LAMAR
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:334-617-6453
Mailing Address - Street 1:P.O BOX 464
Mailing Address - Street 2:
Mailing Address - City:FORT DEPOSIT
Mailing Address - State:AL
Mailing Address - Zip Code:36032-4508
Mailing Address - Country:US
Mailing Address - Phone:334-227-4115
Mailing Address - Fax:334-227-4115
Practice Address - Street 1:554 GOLSON RD EAST
Practice Address - Street 2:
Practice Address - City:FORT DEPOSIT
Practice Address - State:AL
Practice Address - Zip Code:36032-4508
Practice Address - Country:US
Practice Address - Phone:334-227-4115
Practice Address - Fax:334-227-4115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL3619666OtherUS DOT #