MEDICARE: ABILITY INTEGRATED CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302R00000X	Health Maintenance Organization
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033818380
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY INTEGRATED CARE

Provider Business Mailing Address
First Line	:	5079 HARDWOODS DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2733
Country	:	US
Telephone Number	:	313-598-3631
Fax Number	:

Provider Business Practice Location Address
First Line	:	5079 HARDWOODS DR
Second Line	:
City	:	WEST BLOOMFIELD
State	:	MI
Zip	:	48323-2733
Country	:	US
Telephone Number	:	313-598-3631
Fax Number	:

Authorized Official
Title or Position	:	PROVIDER
Name	:	MR. ROBERT MAGEE
Credential	:	KRYSTAL MAGEE
Telephone Number	:	313-598-3631

Provider Enumeration Date	:	02/27/2023
Last Update Date	:	02/27/2023

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Directions to “ABILITY INTEGRATED CARE ” Practice Location

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