MEDICARE: ABILITIES 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	235Z00000X	Speech-Language Pathologist
2	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1548821671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITIES LLC

Provider Business Mailing Address
First Line	:	7500 W LAKE MEAD BLVD # 9-378
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0297
Country	:	US
Telephone Number	:	702-781-5188
Fax Number	:

Provider Business Practice Location Address
First Line	:	2130 S BUFFALO DR
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-2013
Country	:	US
Telephone Number	:	702-581-7188
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	PATRICK MCINTOSH
Credential	:
Telephone Number	:	702-781-5188

Provider Enumeration Date	:	06/28/2019
Last Update Date	:	06/28/2019

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Directions to “ABILITIES LLC ” Practice Location

Language	Start Address	Practice Location

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