Provider Demographics
NPI:1780923177
Name:AABLE NURSES GROUP HOME
Entity type:Organization
Organization Name:AABLE NURSES GROUP HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSAGINWEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:AYIYI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:602-885-7535
Mailing Address - Street 1:1806 N 114TH AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85392-5235
Mailing Address - Country:US
Mailing Address - Phone:602-885-7535
Mailing Address - Fax:623-302-9363
Practice Address - Street 1:11405 W HUBBELL ST
Practice Address - Street 2:
Practice Address - City:AVONDALE
Practice Address - State:AZ
Practice Address - Zip Code:85392-5212
Practice Address - Country:US
Practice Address - Phone:602-885-7535
Practice Address - Fax:623-302-9363
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AABLE NURSES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL8957H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility