MEDICARE: ABLE SUPPORT SERVICES, 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	1237997	OH

General Provider Information

NPI Number	:	1356403000
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE SUPPORT SERVICES, INC

Provider Business Mailing Address
First Line	:	2021 E DUBLIN GRANVILLE RD
Second Line	:	SUITE 250
City	:	COLUMBUS
State	:	OH
Zip	:	43229-3568
Country	:	US
Telephone Number	:	614-436-3791
Fax Number	:	614-436-3794

Provider Business Practice Location Address
First Line	:	2931 E DUBLIN GRANVILLE RD STE 190
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2098
Country	:	US
Telephone Number	:	614-436-3791
Fax Number	:	614-436-3794

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. CHUCK P OKAFOR SR.
Credential	:
Telephone Number	:	614-436-3791

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	01/06/2021

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