Healthcare Provider Details

I. General information

NPI: 1447619275
Provider Name (Legal Business Name): ABLE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2016
Last Update Date: 02/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1530 S PRIMROSE DR
ORLANDO FL
32806-2587
US

IV. Provider business mailing address

1530 S PRIMROSE DR
ORLANDO FL
32806-2587
US

V. Phone/Fax

Practice location:
  • Phone: 407-375-0330
  • Fax:
Mailing address:
  • Phone: 407-988-3510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA1-06-2921
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT13640
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSA12696
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberRN9165923
License Number StateFL

VIII. Authorized Official

Name: ANGELA MEISSNER
Title or Position: DIRECTOR
Credential: RN, CCRN, RBT
Phone: 407-988-3510