Provider Demographics
NPI:1245509595
Name:GABEL SENIOR CARE
Entity type:Organization
Organization Name:GABEL SENIOR CARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:GABEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-631-8251
Mailing Address - Street 1:2290 E PROSPECT RD STE 4
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9768
Mailing Address - Country:US
Mailing Address - Phone:970-631-8251
Mailing Address - Fax:970-673-1139
Practice Address - Street 1:2290 E PROSPECT RD STE 4
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-9768
Practice Address - Country:US
Practice Address - Phone:970-631-8251
Practice Address - Fax:970-673-1139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-15
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04O237251E00000X
CO04N661251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health