MEDICARE: ABLE HOME HEALTH CARE, LLC

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	251C00000X	Developmentally Disabled Services Day Training Agency		CT
2	251C00000X	Developmentally Disabled Services Day Training Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1912374422	OTHER	CT	NPI

General Provider Information

NPI Number	:	1508246745
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	16 TAYLOR PL
Second Line	:
City	:	WESTPORT
State	:	CT
Zip	:	06880-4313
Country	:	US
Telephone Number	:	203-529-5123
Fax Number	:	888-761-5161

Provider Business Practice Location Address
First Line	:	6538 COLLINS AVE.
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33141-4694
Country	:	US
Telephone Number	:	203-529-5123
Fax Number	:	888-761-5161

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JAMIE ZEPPERNICK
Credential	:
Telephone Number	:	203-529-5123

Provider Enumeration Date	:	06/03/2015
Last Update Date	:	07/17/2018

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