MEDICARE: ABLISS HOME HEALTH CARE, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	343900000X	Non-emergency Medical Transport (VAN)
3	385H00000X	Respite Care
4	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1982456158
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABLISS HOME HEALTH CARE, LLC

Provider Business Mailing Address
First Line	:	1605 LINDSEY LN
Second Line	:
City	:	SOUTHAVEN
State	:	MS
Zip	:	38672-8553
Country	:	US
Telephone Number	:	901-229-4403
Fax Number	:

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 326
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3615
Country	:	US
Telephone Number	:	901-229-4403
Fax Number	:	626-380-4431

Authorized Official
Title or Position	:	CEO
Name	:	RUTHA SMITH-CARR
Credential	:
Telephone Number	:	901-229-4403

Provider Enumeration Date	:	04/02/2024
Last Update Date	:	05/03/2024

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Directions to “ABLISS HOME HEALTH CARE, LLC ” Practice Location

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