Healthcare Provider Details

I. General information

NPI: 1790377877
Provider Name (Legal Business Name): ABILITY COMMUNITY HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2021
Last Update Date: 02/09/2021
Certification Date: 02/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 KENNEDY ST NW STE 13
WASHINGTON DC
20011-5268
US

IV. Provider business mailing address

4203 WINDFLOWER WAY
BOWIE MD
20720-4293
US

V. Phone/Fax

Practice location:
  • Phone: 240-533-1810
  • Fax:
Mailing address:
  • Phone: 240-533-1810
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TERENCE ATEM
Title or Position: PRESIDENT/CEO
Credential: LPN
Phone: 240-533-1810