Provider Demographics
NPI:1750562229
Name:ABLE HEALTH CARE SERVICES LLC
Entity type:Organization
Organization Name:ABLE HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:ABESAMIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:248-905-5400
Mailing Address - Street 1:24001 SOUTHFIELD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-2847
Mailing Address - Country:US
Mailing Address - Phone:248-905-5400
Mailing Address - Fax:248-905-5401
Practice Address - Street 1:24001 SOUTHFIELD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-2847
Practice Address - Country:US
Practice Address - Phone:248-905-5400
Practice Address - Fax:248-905-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-26
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239090Medicare PIN