Provider Demographics
NPI:1245512268
Name:ABLE HEALTH CARE LLC
Entity type:Organization
Organization Name:ABLE HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:DAMARIS
Authorized Official - Middle Name:N
Authorized Official - Last Name:NYANJUI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:617-331-6058
Mailing Address - Street 1:183 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01104-2654
Mailing Address - Country:US
Mailing Address - Phone:617-331-6058
Mailing Address - Fax:
Practice Address - Street 1:183 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01104-2654
Practice Address - Country:US
Practice Address - Phone:617-331-6058
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty