MEDICARE: ABILITY CARE 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1578354379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITY CARE LLC

Provider Business Mailing Address
First Line	:	4040 TRAVIS DR APT 135
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37211-3771
Country	:	US
Telephone Number	:	615-747-0826
Fax Number	:

Provider Business Practice Location Address
First Line	:	705 18TH AVE S
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-3214
Country	:	US
Telephone Number	:	615-747-0826
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KHALID Y IBRAHIM
Credential	:	DISPATCH CONTROLES
Telephone Number	:	615-747-0826

Provider Enumeration Date	:	05/13/2025
Last Update Date	:	05/13/2025

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