Healthcare Provider Details

I. General information

NPI: 1982456158
Provider Name (Legal Business Name): ABLISS HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2024
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3756 SANTA ROSALIA DR STE 326
LOS ANGELES CA
90008-3615
US

IV. Provider business mailing address

1605 LINDSEY LN
SOUTHAVEN MS
38672-8553
US

V. Phone/Fax

Practice location:
  • Phone: 901-229-4403
  • Fax: 626-380-4431
Mailing address:
  • Phone: 901-229-4403
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: RUTHA SMITH-CARR
Title or Position: CEO
Credential:
Phone: 901-229-4403