Provider Demographics
NPI: | 1952392854 |
---|---|
Name: | ABILITY HEALTH SERVICES INC |
Entity Type: | Organization |
Organization Name: | ABILITY HEALTH SERVICES INC |
Other - Org Name: | ABILITY REHABILITATION |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | ADMINISTRATOR / VP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JOHN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | GUERRINA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | ATC |
Authorized Official - Phone: | 407-688-0070 |
Mailing Address - Street 1: | 1200 LEXINGTON GREEN LN |
Mailing Address - Street 2: | |
Mailing Address - City: | SANFORD |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 32771-1013 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 407-688-0070 |
Mailing Address - Fax: | 407-688-0071 |
Practice Address - Street 1: | 801 N ORANGE AVE STE 610 |
Practice Address - Street 2: | |
Practice Address - City: | ORLANDO |
Practice Address - State: | FL |
Practice Address - Zip Code: | 32801-5202 |
Practice Address - Country: | US |
Practice Address - Phone: | 407-688-0070 |
Practice Address - Fax: | 407-688-0071 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2005-10-31 |
Last Update Date: | 2016-12-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QR0400X | Ambulatory Health Care Facilities | Clinic/Center | Rehabilitation | |
No | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant | Group - Single Specialty | |
No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Single Specialty | |
No | 225200000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant | Group - Single Specialty | |
No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | Group - Single Specialty |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Single Specialty | |
No | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Single Specialty | |
No | 235Z00000X | Speech, Language and Hearing Service Providers | Speech-Language Pathologist | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | 686675 | Medicare Oscar/Certification |