Healthcare Provider Details

I. General information

NPI: 1760356489
Provider Name (Legal Business Name): ABLE LIFE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 SUMMIT AVENUE RETAIL SPACE #3
JERSEY CITY NJ
07304
US

IV. Provider business mailing address

136 SUMMIT AVENUE RETAIL SPACE #3
JERSEY CITY NJ
07304
US

V. Phone/Fax

Practice location:
  • Phone: 718-825-8499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CARMEN BROWN
Title or Position: CEO
Credential:
Phone: 718-825-8499