Healthcare Provider Details

I. General information

NPI: 1720694888
Provider Name (Legal Business Name): ABLE PRIME HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2020
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3140 FOREST RD STE 2001
SPRING HILL FL
34606-3379
US

IV. Provider business mailing address

5341 GRAND BLVD STE 111
NEW PORT RICHEY FL
34652-4004
US

V. Phone/Fax

Practice location:
  • Phone: 727-847-9888
  • Fax: 727-847-3555
Mailing address:
  • Phone: 727-847-9888
  • Fax: 727-847-3555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS SAXON
Title or Position: AUTHORIZED OFFICIAL
Credential: PT
Phone: 727-847-9888