Healthcare Provider Details

I. General information

NPI: 1205419256
Provider Name (Legal Business Name): ABLELINK SMART LIVING TECHNOLOGIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2021
Last Update Date: 11/05/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30004 EAST EASLEY RD.
LEE'S SUMMIT MO
64086
US

IV. Provider business mailing address

3578 HARTSEL DR STE E PMB 140
COLORADO SPRINGS CO
80920-7105
US

V. Phone/Fax

Practice location:
  • Phone: 719-592-0347
  • Fax: 719-592-0348
Mailing address:
  • Phone: 719-592-0347
  • Fax: 719-592-0348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: RICH HEROLD
Title or Position: CUSTOMER EXPERIENCE DIRECTOR
Credential:
Phone: 719-592-0347