MEDICARE: ABLE HOME CARE SOLUTION 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1972980530
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLE HOME CARE SOLUTION LLC

Provider Business Mailing Address
First Line	:	801 S RANCHO DR STE E2B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-586-2763
Fax Number	:

Provider Business Practice Location Address
First Line	:	801 S RANCHO DR STE E2B
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89106-3812
Country	:	US
Telephone Number	:	702-586-2763
Fax Number	:

Authorized Official
Title or Position	:	OFFICE STAFF
Name	:	STACEY KAHN
Credential	:
Telephone Number	:	702-586-2763

Provider Enumeration Date	:	05/04/2015
Last Update Date	:	11/28/2017

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Directions to “ABLE HOME CARE SOLUTION LLC ” Practice Location

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