Provider Demographics
NPI:1982478590
Name:ABLE ACCESS HOME HEALTH LLC
Entity Type:Organization
Organization Name:ABLE ACCESS HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GABRIEL
Authorized Official - Middle Name:B
Authorized Official - Last Name:ADEMILOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-821-7372
Mailing Address - Street 1:101 CENTURY 21 DR STE 216
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-9293
Mailing Address - Country:US
Mailing Address - Phone:904-821-7372
Mailing Address - Fax:904-374-0595
Practice Address - Street 1:101 CENTURY 21 DR STE 216
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-9293
Practice Address - Country:US
Practice Address - Phone:904-821-7372
Practice Address - Fax:904-374-0505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health