=====================================================
General NPI Number Information
=====================================================
NPI Number | 1295271518
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ABILITY HEALTH SERVICES AND REHABILITATION LP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/10/2017
-----------------------------------------------------
Last Update Date | 01/10/2017
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1418 BLOOMINGDALE AVE
-----------------------------------------------------
City | VALRICO
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33596-6110
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-381-4944
-----------------------------------------------------
Fax | 813-381-3608
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1200 LEXINGTON GREEN LN
-----------------------------------------------------
City | SANFORD
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32771-1013
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-688-0070
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VP/AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | RICHARD BINSTEIN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 713-297-7000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QR0400X
-----------------------------------------------------
Taxonomy Name | Rehabilitation Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------