Healthcare Provider Details

I. General information

NPI: 1043009111
Provider Name (Legal Business Name): ABILITIES CREATE EXCELLENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4232 STONE MEADOW DR
LIBERTY TWP OH
45011-8114
US

IV. Provider business mailing address

4232 STONE MEADOW DR
LIBERTY TWP OH
45011-8114
US

V. Phone/Fax

Practice location:
  • Phone: 513-259-5620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JOHN ROBERT HELT
Title or Position: OWNER
Credential:
Phone: 513-259-5620