Provider Demographics
NPI:1801119458
Name:ABLE HOME HEALTH CARE
Entity type:Organization
Organization Name:ABLE HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:D
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-458-0800
Mailing Address - Street 1:1240 BROADCAST PLZ
Mailing Address - Street 2:
Mailing Address - City:MERRICK
Mailing Address - State:NY
Mailing Address - Zip Code:11566-3461
Mailing Address - Country:US
Mailing Address - Phone:718-458-0800
Mailing Address - Fax:
Practice Address - Street 1:1240 BROADCAST PLZ
Practice Address - Street 2:
Practice Address - City:MERRICK
Practice Address - State:NY
Practice Address - Zip Code:11566-3461
Practice Address - Country:US
Practice Address - Phone:718-458-0800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-10
Last Update Date:2010-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4560001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health