MEDICARE: ABILITIES INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1316112378
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABILITIES INC.

Provider Business Mailing Address
First Line	:	7005 PASTOR BAILEY DR STE 101A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2632
Country	:	US
Telephone Number	:	972-709-7666
Fax Number	:	972-709-7237

Provider Business Practice Location Address
First Line	:	7005 PASTOR BAILEY DR STE 101A
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75237-2632
Country	:	US
Telephone Number	:	214-766-6647
Fax Number	:	972-709-7237

Authorized Official
Title or Position	:	DIRECTOR OF SERVICES
Name	:	MR. ARNULFO GONZALEZ
Credential	:
Telephone Number	:	214-766-6647

Provider Enumeration Date	:	04/29/2008
Last Update Date	:	11/08/2023

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