MEDICARE: ABLE PATH CARE & STAFFING LLC

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	253Z00000X	In Home Supportive Care Agency
2	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1518848704
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE PATH CARE & STAFFING LLC

Provider Business Mailing Address
First Line	:	1175 PEACHTREE ST NE STE 1000
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30361-3542
Country	:	US
Telephone Number	:	919-559-5279
Fax Number	:

Provider Business Practice Location Address
First Line	:	1175 PEACHTREE ST NE STE 1000
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30361-3542
Country	:	US
Telephone Number	:	919-559-5279
Fax Number	:

Authorized Official
Title or Position	:	CHIEF CARE OFFICER
Name	:	DARRELL DIAL
Credential	:
Telephone Number	:	919-559-5279

Provider Enumeration Date	:	09/12/2025
Last Update Date	:	09/12/2025

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Directions to “ABLE PATH CARE & STAFFING LLC ” Practice Location

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