Healthcare Provider Details

I. General information

NPI: 1609366442
Provider Name (Legal Business Name): ABLE HOME CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2018
Last Update Date: 05/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 SOUTH COURT STREET SUITE 415
MONTGOMERY AL
36104-4106
US

IV. Provider business mailing address

600 SOUTH COURT STREET SUITE 415
MONTGOMERY AL
36104-4106
US

V. Phone/Fax

Practice location:
  • Phone: 334-676-1328
  • Fax: 334-676-3156
Mailing address:
  • Phone: 334-676-1328
  • Fax: 334-676-3156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1-123333
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. HERBERT LAMAR BARBER JR.
Title or Position: OWNER/RN
Credential: R.N
Phone: 334-676-1328