MEDICARE: ABLE HOME HEALTH CARE

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	4560001	NY

General Provider Information

NPI Number	:	1801119458
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE HOME HEALTH CARE

Provider Business Mailing Address
First Line	:	1240 BROADCAST PLZ
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-3461
Country	:	US
Telephone Number	:	718-458-0800
Fax Number	:

Provider Business Practice Location Address
First Line	:	1240 BROADCAST PLZ
Second Line	:
City	:	MERRICK
State	:	NY
Zip	:	11566-3461
Country	:	US
Telephone Number	:	718-458-0800
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF NURSING
Name	:	MRS. RONNIE D
Credential	:	RN
Telephone Number	:	718-458-0800

Provider Enumeration Date	:	03/10/2010
Last Update Date	:	03/10/2010

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Directions to “ABLE HOME HEALTH CARE ” Practice Location

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